Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $660.69 / $1,819.70	Professional		$181.97	$660.69	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $645.65 / $2,089.30	Professional		$263.03	$645.65	$2,089.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,090.30 / $7,762.47	Facility		$66.07	$3,090.30	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $630.96 / $1,513.56	Professional		$190.55	$630.96	$1,513.56
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 $194.98 / $575.44 / $1,778.28	Professional		$194.98	$575.44	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $1,174.90	Professional		$165.96	$199.53	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $691.83 / $1,380.38	Professional		$154.88	$691.83	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $28,840.32 / $28,840.32	Facility		$9,332.54	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,023.29	Professional		$616.60	$616.60	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $426.58 / $1,479.11	Facility		$186.21	$426.58	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $489.78 / $1,862.09	Professional		$194.98	$489.78	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $2,454.71	Professional		$575.44	$575.44	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $812.83	Professional		$151.36	$234.42	$812.83
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 $169.82 / $575.44 / $1,698.24	Professional		$169.82	$575.44	$1,698.24