Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,471.29 / $22,387.21	Facility		$4,786.30	$10,471.29	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $3,548.13	Professional		$616.60	$891.25	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,238.72	Professional		$794.33	$1,122.02	$2,238.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,248.07 / $22,908.68	Facility		$66.07	$5,248.07	$22,908.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,819.70	Professional		$630.96	$912.01	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $13,182.57 / $14,791.08	Facility		$4,265.80	$13,182.57	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,819.70	Professional		$645.65	$831.76	$1,819.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $912.01	Professional		$478.63	$660.69	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,412.54	Professional		$562.34	$741.31	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $50,118.72 / $50,118.72	Facility		$16,218.10	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,495.41 / $5,495.41	Professional		$4,897.79	$5,495.41	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,548.82	Facility		$676.08	$912.01	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,737.80	Professional		$630.96	$831.76	$1,737.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,023.29	Professional		$537.03	$724.44	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,862.09	Professional		$549.54	$758.58	$1,862.09