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 $537.03 / $676.08 / $3,235.94	Professional		$537.03	$676.08	$3,235.94
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 $512.86 / $676.08 / $1,318.26	Professional		$512.86	$676.08	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,709.64	Facility		$66.07	$3,388.44	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,445.44	Professional		$512.86	$724.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,621.81 / $3,548.13	Facility		$616.60	$1,621.81	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,412.54	Professional		$489.78	$724.44	$1,412.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $933.25	Professional		$346.74	$660.69	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,318.26	Professional		$575.44	$691.83	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $5,370.32	Professional		$4,466.84	$5,370.32	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $1,258.93	Facility		$575.44	$758.58	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,548.82	Professional		$478.63	$724.44	$1,548.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $776.25	Professional		$446.68	$602.56	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $15,135.61	Facility		$3,090.30	$7,244.36	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,258.93	Professional		$478.63	$645.65	$1,258.93