Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,772.37 / $19,952.62	Facility		$3,715.35	$9,772.37	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $3,715.35	Professional		$660.69	$812.83	$3,715.35
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 $707.95 / $912.01 / $1,698.24	Professional		$707.95	$912.01	$1,698.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $10,964.78	Facility		$66.07	$4,786.30	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,862.09	Professional		$676.08	$977.24	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,949.84 / $4,365.16	Facility		$660.69	$1,949.84	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,698.24	Professional		$645.65	$891.25	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $1,047.13	Professional		$398.11	$758.58	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,513.56	Professional		$645.65	$776.25	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $33,884.42 / $33,884.42	Facility		$9,549.93	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,456.54 / $6,456.54	Professional		$5,248.07	$6,456.54	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,479.11	Facility		$691.83	$933.25	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,862.09	Professional		$616.60	$891.25	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $870.96	Professional		$501.19	$676.08	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $9,772.37 / $20,417.38	Facility		$4,365.16	$9,772.37	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,479.11	Professional		$575.44	$776.25	$1,479.11