Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,606.93 / $16,982.44	Facility		$2,398.83	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $1,348.96	Professional		$257.04	$316.23	$1,348.96
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 $316.23 / $467.74 / $1,318.26	Professional		$316.23	$467.74	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,549.93	Facility		$66.07	$3,630.78	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $794.33	Professional		$302.00	$426.58	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $5,370.32	Facility		$4,466.84	$4,466.84	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $1,318.26	Professional		$269.15	$354.81	$1,318.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $331.13	Professional		$218.78	$245.47	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $524.81	Professional		$218.78	$275.42	$524.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $28,840.32 / $28,840.32	Facility		$20,417.38	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $371.54 / $1,071.52	Facility		$263.03	$371.54	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $1,318.26	Professional		$269.15	$354.81	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $371.54	Professional		$194.98	$269.15	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $1,096.48	Professional		$218.78	$354.81	$1,096.48