Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $8,912.51 / $22,908.68	Facility		$3,467.37	$8,912.51	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $2,344.23	Professional		$407.38	$562.34	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,348.96	Professional		$489.78	$660.69	$1,348.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,570.88 / $10,964.78	Facility		$66.07	$4,570.88	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,202.26	Professional		$389.05	$575.44	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,786.30	Facility		$3,981.07	$3,981.07	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,202.26	Professional		$407.38	$549.54	$1,202.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $616.60	Professional		$354.81	$457.09	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $954.99	Professional		$398.11	$501.19	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $33,884.42 / $33,884.42	Facility		$17,782.79	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $3,630.78	Professional		$3,162.28	$3,630.78	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $575.44 / $954.99	Facility		$446.68	$575.44	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,148.15	Professional		$407.38	$537.03	$1,148.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $758.58	Professional		$371.54	$512.86	$758.58
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 $354.81 / $501.19 / $1,230.27	Professional		$354.81	$501.19	$1,230.27