Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $2,884.03	Professional		$676.08	$831.76	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,819.70	Professional		$758.58	$1,023.29	$1,819.70
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 $707.95 / $1,023.29 / $1,949.84	Professional		$707.95	$1,023.29	$1,949.84
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 $645.65 / $912.01 / $1,659.59	Professional		$645.65	$912.01	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,071.52	Professional		$588.84	$831.76	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,513.56	Professional		$676.08	$831.76	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,079.46	Facility		$54.95	$56.23	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,760.83 / $6,760.83	Professional		$5,495.41	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,548.82	Facility		$707.95	$977.24	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,905.46	Professional		$616.60	$933.25	$1,905.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,258.93	Professional		$660.69	$891.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,168.69 / $9,549.93	Facility		$1,737.80	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,479.11	Professional		$588.84	$794.33	$1,479.11