Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,982.44	Facility		$2,398.83	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $1,819.70	Professional		$316.23	$426.58	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,230.27	Professional		$426.58	$645.65	$1,230.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $7,762.47	Facility		$66.07	$2,630.27	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $977.24	Professional		$354.81	$512.86	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $933.25	Professional		$346.74	$489.78	$933.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $478.63	Professional		$263.03	$354.81	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $741.31	Professional		$295.12	$389.05	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $28,840.32	Facility		$5,248.07	$5,248.07	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $724.44	Facility		$331.13	$457.09	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $870.96	Professional		$331.13	$489.78	$870.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $562.34	Professional		$288.40	$389.05	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $776.25	Professional		$269.15	$398.11	$776.25