Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,585.78 / $18,197.01	Facility		$3,019.95	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $2,290.87	Professional		$398.11	$512.86	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,318.26	Professional		$467.74	$691.83	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,479.11 / $8,709.64	Facility		$66.07	$1,479.11	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,380.38	Professional		$489.78	$707.95	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $467.74	Facility		$398.11	$398.11	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,202.26	Professional		$436.52	$562.34	$1,202.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $537.03	Professional		$251.19	$380.19	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $891.25	Professional		$389.05	$501.19	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $45,708.82 / $45,708.82	Facility		$2,630.27	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,548.13 / $3,548.13	Professional		$3,388.44	$3,548.13	$3,548.13
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 $426.58 / $562.34 / $831.76	Facility		$426.58	$562.34	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,122.02	Professional		$436.52	$562.34	$1,122.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $537.03	Professional		$316.23	$407.38	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,202.26	Professional		$346.74	$537.03	$1,202.26