Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $22,908.68	Facility		$3,715.35	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $2,041.74	Professional		$467.74	$616.60	$2,041.74
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 $489.78 / $616.60 / $1,230.27	Professional		$489.78	$616.60	$1,230.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,288.25	Professional		$446.68	$645.65	$1,288.25
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 $436.52 / $660.69 / $1,258.93	Professional		$436.52	$660.69	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $870.96	Professional		$371.54	$562.34	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,230.27	Professional		$537.03	$676.08	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,981.07	Facility		$54.95	$56.23	$3,981.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $5,011.87	Professional		$4,073.80	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $1,122.02	Facility		$524.81	$724.44	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,445.44	Professional		$426.58	$660.69	$1,445.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $794.33	Professional		$467.74	$616.60	$794.33
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 $416.87 / $562.34 / $1,148.15	Professional		$416.87	$562.34	$1,148.15