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 $645.65 / $851.14 / $4,073.80	Professional		$645.65	$851.14	$4,073.80
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 $741.31 / $1,202.26 / $2,290.87	Professional		$741.31	$1,202.26	$2,290.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,549.93	Facility		$66.07	$3,630.78	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,041.74	Professional		$724.44	$1,047.13	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,905.46	Professional		$691.83	$933.25	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $758.58 / $1,023.29	Professional		$338.84	$758.58	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,584.89	Professional		$616.60	$812.83	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $28,840.32	Facility		$17,378.01	$17,378.01	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,456.54 / $6,456.54	Professional		$5,495.41	$6,456.54	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,445.44	Facility		$676.08	$891.25	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,949.84	Professional		$691.83	$954.99	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $758.58	Professional		$426.58	$588.84	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,621.81	Professional		$575.44	$776.25	$1,621.81