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 $501.19 / $676.08 / $2,884.03	Professional		$501.19	$676.08	$2,884.03
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 $616.60 / $831.76 / $1,659.59	Professional		$616.60	$831.76	$1,659.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $11,748.98	Facility		$66.07	$4,786.30	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,548.82	Professional		$489.78	$724.44	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,479.11	Professional		$524.81	$676.08	$1,479.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $724.44	Professional		$331.13	$501.19	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,174.90	Professional		$467.74	$616.60	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $33,884.42 / $33,884.42	Facility		$14,454.40	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $4,466.84	Professional		$3,890.45	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $707.95 / $1,047.13	Facility		$549.54	$707.95	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,412.54	Professional		$501.19	$676.08	$1,412.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $707.95	Professional		$416.87	$512.86	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,513.56	Professional		$446.68	$616.60	$1,513.56