Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,709.64 / $19,952.62	Facility		$3,311.31	$8,709.64	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $2,754.23	Professional		$407.38	$660.69	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,659.59	Professional		$489.78	$758.58	$1,659.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,398.83 / $10,964.78	Facility		$66.07	$2,398.83	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,621.81	Professional		$457.09	$691.83	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $1,995.26	Facility		$707.95	$1,445.44	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,230.27	Professional		$446.68	$645.65	$1,230.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,071.52	Professional		$338.84	$562.34	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,202.26	Professional		$389.05	$645.65	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $33,884.42 / $33,884.42	Facility		$5,754.40	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $851.14	Professional		$501.19	$501.19	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $1,071.52	Facility		$467.74	$691.83	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,318.26	Professional		$446.68	$660.69	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,995.26	Professional		$1,412.54	$1,412.54	$1,995.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $724.44	Professional		$371.54	$549.54	$724.44
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 $371.54 / $524.81 / $1,071.52	Professional		$371.54	$524.81	$1,071.52