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 $416.87 / $616.60 / $2,290.87	Professional		$416.87	$616.60	$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 $457.09 / $707.95 / $1,584.89	Professional		$457.09	$707.95	$1,584.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,951.21 / $7,762.47	Facility		$66.07	$2,951.21	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,584.89	Professional		$416.87	$707.95	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,737.80 / $2,344.23	Facility		$501.19	$1,737.80	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,380.38	Professional		$467.74	$707.95	$1,380.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $602.56 / $1,122.02	Professional		$229.09	$602.56	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,230.27	Professional		$436.52	$691.83	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $28,840.32 / $28,840.32	Facility		$6,918.31	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $5,248.07	Professional		$4,570.88	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $891.25	Professional		$537.03	$537.03	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,148.15	Facility		$446.68	$691.83	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,412.54	Professional		$467.74	$724.44	$1,412.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,137.96	Professional		$1,548.82	$1,548.82	$2,137.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $707.95	Professional		$288.40	$407.38	$707.95
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 $389.05 / $562.34 / $1,174.90	Professional		$389.05	$562.34	$1,174.90