Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,471.29 / $22,908.68	Facility		$4,073.80	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $2,570.40	Professional		$630.96	$812.83	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,584.89	Professional		$616.60	$831.76	$1,584.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,778.28	Professional		$645.65	$912.01	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,621.81	Professional		$602.56	$851.14	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $977.24	Professional		$426.58	$645.65	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,862.09	Professional		$616.60	$758.58	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,456.54	Facility		$54.95	$56.23	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $6,165.95	Professional		$5,011.87	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,412.54	Facility		$660.69	$891.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,737.80	Professional		$588.84	$851.14	$1,737.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $912.01	Professional		$537.03	$676.08	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,380.38	Professional		$549.54	$741.31	$1,380.38