Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,595.87	Facility		$1,778.28	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $912.01 / $3,467.37	Professional		$371.54	$912.01	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $3,548.13 / $6,025.60	Professional		$501.19	$3,548.13	$6,025.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,235.94 / $8,128.31	Facility		$66.07	$3,235.94	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,715.35 / $6,456.54	Professional		$1,819.70	$3,715.35	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,862.09	Facility		$660.69	$1,047.13	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $851.14 / $3,981.07	Professional		$398.11	$851.14	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $1,479.11	Professional		$281.84	$501.19	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $891.25 / $1,737.80	Professional		$380.19	$891.25	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,332.54	Facility		$54.95	$56.23	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $15,488.17	Professional		$14,125.38	$14,125.38	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,230.27	Professional		$741.31	$741.31	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $933.25 / $3,388.44	Facility		$398.11	$933.25	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $912.01 / $3,801.89	Professional		$398.11	$912.01	$3,801.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,235.94	Professional		$1,230.27	$1,230.27	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $1,148.15	Professional		$371.54	$426.58	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $15,135.61	Facility		$3,090.30	$7,244.36	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $794.33 / $3,388.44	Professional		$338.84	$794.33	$3,388.44