Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $707.95 / $5,370.32	Professional		$234.42	$707.95	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $4,466.84	Professional		$446.68	$758.58	$4,466.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,479.11 / $5,754.40	Facility		$66.07	$1,479.11	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $537.03 / $1,096.48	Professional		$288.40	$537.03	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $1,202.26	Facility		$630.96	$794.33	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $562.34 / $4,570.88	Professional		$275.42	$562.34	$4,570.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $891.25 / $4,677.35	Professional		$239.88	$891.25	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $2,238.72 / $5,128.61	Professional		$213.80	$2,238.72	$5,128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,918.31	Facility		$54.95	$56.23	$6,918.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $18,620.87 / $18,620.87	Professional		$16,218.10	$18,620.87	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,162.28	Professional		$1,905.46	$1,905.46	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $616.60 / $4,677.35	Facility		$245.47	$616.60	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $588.84 / $5,248.07	Professional		$275.42	$588.84	$5,248.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $9,549.93	Professional		$794.33	$794.33	$9,549.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $3,981.07	Professional		$194.98	$269.15	$3,981.07
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 $223.87 / $501.19 / $3,890.45	Professional		$223.87	$501.19	$3,890.45