Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $2,570.40	Professional		$549.54	$794.33	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $2,089.30	Professional		$645.65	$977.24	$2,089.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $6,456.54	Facility		$66.07	$2,511.89	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,905.46	Professional		$549.54	$831.76	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $549.54 / $2,344.23	Facility		$371.54	$549.54	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,698.24	Professional		$575.44	$851.14	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $1,258.93	Professional		$501.19	$831.76	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,445.44	Professional		$537.03	$831.76	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $19,498.45 / $19,498.45	Facility		$6,918.31	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,025.60 / $6,025.60	Professional		$5,754.40	$6,025.60	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,023.29	Professional		$616.60	$616.60	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,380.38	Facility		$676.08	$933.25	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,737.80	Professional		$588.84	$870.96	$1,737.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Professional		$2,089.30	$2,089.30	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,047.13	Professional		$537.03	$776.25	$1,047.13
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 $512.86 / $676.08 / $1,412.54	Professional		$512.86	$676.08	$1,412.54