Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $1,621.81	Professional		$275.42	$457.09	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,202.26	Professional		$331.13	$575.44	$1,202.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,317.64	Facility		$66.07	$3,388.44	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $588.84 / $1,202.26	Professional		$281.84	$588.84	$1,202.26
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 $288.40 / $489.78 / $1,000.00	Professional		$288.40	$489.78	$1,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $616.60	Professional		$151.36	$302.00	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $741.31	Professional		$269.15	$416.87	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $28,840.32 / $28,840.32	Facility		$9,332.54	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $537.03	Professional		$323.59	$323.59	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $794.33	Facility		$269.15	$446.68	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $1,000.00	Professional		$288.40	$501.19	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,380.38	Professional		$912.01	$912.01	$1,380.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $426.58	Professional		$190.55	$269.15	$426.58
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 $245.47 / $426.58 / $977.24	Professional		$245.47	$426.58	$977.24