Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,387.21	Facility		$3,548.13	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $3,162.28	Professional		$549.54	$707.95	$3,162.28
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 $676.08 / $891.25 / $1,819.70	Professional		$676.08	$891.25	$1,819.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,981.07 / $10,964.78	Facility		$66.07	$3,981.07	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,584.89	Professional		$549.54	$794.33	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Facility		$2,089.30	$2,089.30	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,584.89	Professional		$549.54	$741.31	$1,584.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $812.83	Professional		$537.03	$602.56	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,202.26	Professional		$501.19	$676.08	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $33,884.42 / $33,884.42	Facility		$9,332.54	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $1,230.27	Facility		$602.56	$776.25	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,513.56	Professional		$549.54	$724.44	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,148.15	Professional		$537.03	$758.58	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,659.59	Professional		$478.63	$707.95	$1,659.59