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 $398.11 / $478.63 / $1,621.81	Professional		$398.11	$478.63	$1,621.81
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 $199.53 / $489.78 / $1,000.00	Professional		$199.53	$489.78	$1,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,148.15	Professional		$416.87	$602.56	$1,148.15
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 $407.38 / $549.54 / $1,047.13	Professional		$407.38	$549.54	$1,047.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $588.84	Professional		$107.15	$162.18	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $891.25	Professional		$371.54	$457.09	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $3,715.35	Professional		$3,019.95	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $537.03 / $870.96	Facility		$389.05	$537.03	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,096.48	Professional		$407.38	$549.54	$1,096.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $407.38	Professional		$134.90	$190.55	$407.38
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 $346.74 / $467.74 / $870.96	Professional		$346.74	$467.74	$870.96