Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $2,818.38	Professional		$457.09	$549.54	$2,818.38
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 $549.54 / $776.25 / $1,584.89	Professional		$549.54	$776.25	$1,584.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $9,332.54	Facility		$66.07	$3,388.44	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,412.54	Professional		$457.09	$676.08	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,290.87	Facility		$1,949.84	$1,949.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,348.96	Professional		$457.09	$630.96	$1,348.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $776.25	Professional		$251.19	$380.19	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,174.90	Professional		$489.78	$660.69	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $45,708.82 / $45,708.82	Facility		$8,709.64	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $4,570.88	Professional		$3,715.35	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $676.08 / $1,023.29	Facility		$524.81	$676.08	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,348.96	Professional		$457.09	$630.96	$1,348.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $575.44	Professional		$316.23	$446.68	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,479.11	Professional		$389.05	$562.34	$1,479.11