Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,585.78 / $18,197.01	Facility		$3,019.95	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $2,754.23	Professional		$467.74	$575.44	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,202.26	Professional		$501.19	$630.96	$1,202.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $10,715.19	Facility		$66.07	$4,168.69	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,412.54	Professional		$524.81	$758.58	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,467.37 / $5,623.41	Facility		$616.60	$3,467.37	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,230.27	Professional		$446.68	$645.65	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $707.95	Professional		$436.52	$524.81	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,023.29	Professional		$426.58	$524.81	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $45,708.82 / $45,708.82	Facility		$16,595.87	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $1,148.15	Facility		$478.63	$660.69	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,288.25	Professional		$436.52	$645.65	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $933.25	Professional		$436.52	$602.56	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,748.98 / $25,118.86	Facility		$5,248.07	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $1,047.13	Professional		$398.11	$537.03	$1,047.13