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 $588.84 / $724.44 / $2,951.21	Professional		$588.84	$724.44	$2,951.21
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 $630.96 / $831.76 / $1,548.82	Professional		$630.96	$831.76	$1,548.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,235.94 / $8,317.64	Facility		$66.07	$3,235.94	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,659.59	Professional		$602.56	$870.96	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,995.26 / $4,365.16	Facility		$537.03	$1,995.26	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,548.82	Professional		$575.44	$812.83	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $954.99	Professional		$512.86	$707.95	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,380.38	Professional		$588.84	$724.44	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $28,840.32 / $28,840.32	Facility		$9,549.93	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,754.40 / $5,754.40	Professional		$4,786.30	$5,754.40	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $1,479.11	Facility		$630.96	$851.14	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,698.24	Professional		$549.54	$812.83	$1,698.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,096.48	Professional		$575.44	$758.58	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,549.93 / $20,892.96	Facility		$4,073.80	$9,549.93	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,348.96	Professional		$524.81	$707.95	$1,348.96