Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,513.56	Professional		$323.59	$501.19	$1,513.56
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 $371.54 / $512.86 / $954.99	Professional		$371.54	$512.86	$954.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $8,128.31	Facility		$66.07	$2,511.89	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $1,071.52	Professional		$380.19	$575.44	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,659.59 / $2,630.27	Facility		$537.03	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,000.00	Professional		$354.81	$537.03	$1,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $870.96	Professional		$251.19	$436.52	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $1,000.00	Professional		$316.23	$537.03	$1,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $28,840.32 / $28,840.32	Facility		$7,943.28	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $4,466.84	Professional		$3,801.89	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $741.31	Professional		$446.68	$446.68	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $912.01	Facility		$354.81	$562.34	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $1,096.48	Professional		$354.81	$549.54	$1,096.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,659.59	Professional		$1,096.48	$1,096.48	$1,659.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $575.44	Professional		$295.12	$416.87	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $851.14	Professional		$295.12	$446.68	$851.14