Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $1,995.26	Professional		$331.13	$446.68	$1,995.26
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 $398.11 / $549.54 / $1,122.02	Professional		$398.11	$549.54	$1,122.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,698.24 / $6,918.31	Facility		$66.07	$1,698.24	$6,918.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $977.24	Professional		$316.23	$457.09	$977.24
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 $338.84 / $457.09 / $1,000.00	Professional		$338.84	$457.09	$1,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $524.81	Professional		$338.84	$389.05	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $812.83	Professional		$338.84	$426.58	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $19,498.45 / $19,498.45	Facility		$9,332.54	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,019.95	Professional		$2,630.27	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $478.63 / $724.44	Facility		$371.54	$478.63	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $954.99	Professional		$338.84	$457.09	$954.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $575.44	Professional		$316.23	$436.52	$575.44
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 $288.40 / $416.87 / $1,047.13	Professional		$288.40	$416.87	$1,047.13