Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,413.10 / $18,197.01	Facility		$2,754.23	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $1,318.26	Professional		$257.04	$371.54	$1,318.26
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 $331.13 / $562.34 / $1,096.48	Professional		$331.13	$562.34	$1,096.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,801.89 / $9,120.11	Facility		$66.07	$3,801.89	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $1,000.00	Professional		$295.12	$446.68	$1,000.00
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 $275.42 / $398.11 / $794.33	Professional		$275.42	$398.11	$794.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $524.81	Professional		$190.55	$309.03	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $602.56	Professional		$234.42	$354.81	$602.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,884.03 / $2,884.03	Professional		$2,570.40	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $501.19	Professional		$295.12	$295.12	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $407.38 / $602.56	Facility		$275.42	$407.38	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $870.96	Professional		$269.15	$398.11	$870.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,148.15	Professional		$831.76	$831.76	$1,148.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $407.38	Professional		$208.93	$309.03	$407.38
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 $239.88 / $363.08 / $794.33	Professional		$239.88	$363.08	$794.33