Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,387.21	Facility		$3,548.13	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $2,818.38	Professional		$467.74	$588.84	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,737.80	Professional		$575.44	$831.76	$1,737.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,365.16 / $10,964.78	Facility		$66.07	$4,365.16	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,548.82	Professional		$446.68	$660.69	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,388.44	Facility		$2,884.03	$2,884.03	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,288.25	Professional		$457.09	$588.84	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $1,174.90	Professional		$537.03	$616.60	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,023.29	Professional		$436.52	$575.44	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $33,884.42 / $33,884.42	Facility		$12,882.50	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $660.69 / $1,047.13	Facility		$512.86	$660.69	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,288.25	Professional		$457.09	$588.84	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,318.26	Professional		$478.63	$870.96	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $21,379.62	Facility		$5,370.32	$10,000.00	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,258.93	Professional		$398.11	$562.34	$1,258.93