Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $2,290.87	Professional		$380.19	$489.78	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,318.26	Professional		$478.63	$724.44	$1,318.26
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 $436.52 / $630.96 / $1,202.26	Professional		$436.52	$630.96	$1,202.26
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 $416.87 / $537.03 / $1,096.48	Professional		$416.87	$537.03	$1,096.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $489.78 / $660.69	Professional		$208.93	$489.78	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,000.00	Professional		$407.38	$537.03	$1,000.00
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 $3,090.30 / $3,715.35 / $3,715.35	Professional		$3,090.30	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $562.34 / $851.14	Facility		$426.58	$562.34	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,096.48	Professional		$407.38	$549.54	$1,096.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $478.63	Professional		$263.03	$371.54	$478.63
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 $338.84 / $467.74 / $912.01	Professional		$338.84	$467.74	$912.01