Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,964.78 / $21,379.62	Facility		$3,715.35	$10,964.78	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $1,737.80	Professional		$346.74	$446.68	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,174.90	Professional		$416.87	$588.84	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,715.35 / $13,803.84	Facility		$66.07	$3,715.35	$13,803.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,122.02	Professional		$354.81	$537.03	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Facility		$2,137.96	$2,137.96	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $954.99	Professional		$354.81	$467.74	$954.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $416.87 / $616.60	Professional		$169.82	$416.87	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $794.33	Professional		$338.84	$467.74	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $42,657.95 / $42,657.95	Facility		$9,549.93	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $3,715.35	Professional		$3,019.95	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $630.96	Professional		$380.19	$380.19	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $512.86 / $758.58	Facility		$380.19	$512.86	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $1,000.00	Professional		$354.81	$478.63	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,318.26	Professional		$1,174.90	$1,174.90	$1,318.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $457.09	Professional		$218.78	$309.03	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $15,848.93	Facility		$4,073.80	$7,762.47	$15,848.93
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $1,000.00	Professional		$309.03	$446.68	$1,000.00