Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $22,908.68	Facility		$3,715.35	$9,549.93	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $3,311.31	Professional		$549.54	$630.96	$3,311.31
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 $645.65 / $933.25 / $1,862.09	Professional		$645.65	$933.25	$1,862.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $12,882.50	Facility		$66.07	$4,786.30	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,698.24	Professional		$602.56	$870.96	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,265.80	Facility		$3,630.78	$3,630.78	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,548.82	Professional		$575.44	$741.31	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $812.83	Professional		$489.78	$602.56	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,202.26	Professional		$501.19	$676.08	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $33,884.42 / $33,884.42	Facility		$16,218.10	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,011.87 / $5,011.87	Professional		$4,786.30	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $776.25 / $1,288.25	Facility		$588.84	$776.25	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,548.82	Professional		$537.03	$741.31	$1,548.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,047.13	Professional		$489.78	$691.83	$1,047.13
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 $478.63 / $660.69 / $1,698.24	Professional		$478.63	$660.69	$1,698.24