Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $22,387.21	Facility		$4,168.69	$10,471.29	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $3,467.37	Professional		$602.56	$724.44	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,964.78 / $17,782.79	Facility		$6,025.60	$10,964.78	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,737.80	Professional		$776.25	$1,023.29	$1,737.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,801.89 / $14,791.08	Facility		$66.07	$3,801.89	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,737.80	Professional		$645.65	$912.01	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $10,471.29 / $14,791.08	Facility		$707.95	$10,471.29	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,513.56	Professional		$602.56	$831.76	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $933.25	Professional		$549.54	$691.83	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,621.81	Professional		$575.44	$707.95	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $39,810.72	Facility		$2,818.38	$2,818.38	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,623.41 / $5,623.41	Professional		$4,677.35	$5,623.41	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $1,412.54	Facility		$616.60	$812.83	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,659.59	Professional		$575.44	$831.76	$1,659.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $933.25	Professional		$549.54	$724.44	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $13,489.63 / $28,840.32	Facility		$5,888.44	$13,489.63	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,348.96	Professional		$524.81	$741.31	$1,348.96