Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $19,498.45	Facility		$3,715.35	$9,549.93	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $1,949.84	Professional		$363.08	$562.34	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $977.24	Professional		$398.11	$537.03	$977.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $10,964.78	Facility		$66.07	$4,168.69	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $1,023.29	Professional		$371.54	$537.03	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,995.26 / $4,365.16	Facility		$660.69	$1,995.26	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $954.99	Professional		$363.08	$501.19	$954.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $602.56	Professional		$316.23	$446.68	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $1,096.48	Professional		$371.54	$446.68	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $33,884.42	Facility		$9,549.93	$9,549.93	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,677.35	Professional		$3,548.13	$3,548.13	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $891.25	Facility		$389.05	$524.81	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,023.29	Professional		$354.81	$501.19	$1,023.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
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 $323.59 / $426.58 / $831.76	Professional		$323.59	$426.58	$831.76