Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $17,378.01	Facility		$2,511.89	$6,606.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $2,344.23	Professional		$363.08	$478.63	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,288.25	Professional		$426.58	$645.65	$1,288.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $21,379.62	Facility		$66.07	$3,630.78	$21,379.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,122.02	Professional		$398.11	$575.44	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $30,199.52 / $30,902.95	Facility		$30,199.52	$30,199.52	$30,902.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $1,122.02	Professional		$380.19	$524.81	$1,122.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $537.03 / $724.44	Professional		$199.53	$537.03	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,071.52	Professional		$436.52	$575.44	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $89,125.09	Facility		$28,840.32	$28,840.32	$89,125.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $8,511.38	Professional		$3,890.45	$3,890.45	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $575.44 / $870.96	Facility		$426.58	$575.44	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,122.02	Professional		$363.08	$524.81	$1,122.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $489.78	Professional		$251.19	$354.81	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $19,952.62 / $52,480.75	Facility		$10,000.00	$19,952.62	$52,480.75
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $912.01	Professional		$323.59	$436.52	$912.01