Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $2,511.89	Professional		$446.68	$575.44	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,737.80	Professional		$478.63	$870.96	$1,737.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,317.64	Facility		$66.07	$3,388.44	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,513.56	Professional		$489.78	$691.83	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,398.83	Facility		$1,995.26	$1,995.26	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,288.25	Professional		$467.74	$575.44	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $977.24	Professional		$436.52	$524.81	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $933.25	Professional		$380.19	$489.78	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $28,840.32 / $28,840.32	Facility		$8,912.51	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $3,890.45	Professional		$3,162.28	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $891.25	Facility		$478.63	$645.65	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,288.25	Professional		$467.74	$588.84	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $1,122.02	Professional		$398.11	$724.44	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,230.27	Professional		$398.11	$575.44	$1,230.27