Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $3,162.28	Professional		$426.58	$676.08	$3,162.28
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 $501.19 / $724.44 / $1,698.24	Professional		$501.19	$724.44	$1,698.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,398.83 / $6,165.95	Facility		$66.07	$2,398.83	$6,165.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $1,479.11	Professional		$426.58	$575.44	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,737.80 / $2,344.23	Facility		$371.54	$1,737.80	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,445.44	Professional		$446.68	$660.69	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $831.76	Professional		$389.05	$616.60	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,202.26	Professional		$478.63	$630.96	$1,202.26
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 $3,981.07 / $4,570.88 / $4,570.88	Professional		$3,981.07	$4,570.88	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $676.08 / $1,122.02	Facility		$524.81	$676.08	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,445.44	Professional		$467.74	$676.08	$1,445.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $831.76	Professional		$489.78	$575.44	$831.76
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 $407.38 / $537.03 / $1,202.26	Professional		$407.38	$537.03	$1,202.26