Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $2,290.87	Professional		$323.59	$549.54	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,174.90	Professional		$295.12	$501.19	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,819.70 / $7,762.47	Facility		$66.07	$1,819.70	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $1,174.90	Professional		$302.00	$524.81	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,995.26	Facility		$501.19	$741.31	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,047.13	Professional		$331.13	$537.03	$1,047.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $436.52 / $912.01	Professional		$154.88	$436.52	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $562.34 / $1,023.29	Professional		$316.23	$562.34	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $28,840.32 / $28,840.32	Facility		$5,754.40	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $4,365.16	Professional		$3,715.35	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $724.44	Professional		$436.52	$436.52	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $870.96	Facility		$275.42	$501.19	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $1,122.02	Professional		$331.13	$549.54	$1,122.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,737.80	Professional		$1,148.15	$1,148.15	$1,737.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $588.84	Professional		$194.98	$295.12	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $891.25	Professional		$288.40	$436.52	$891.25