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 $389.05 / $602.56 / $2,511.89	Professional		$389.05	$602.56	$2,511.89
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 / $1,445.44	Professional		$457.09	$707.95	$1,445.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,344.23 / $7,762.47	Facility		$66.07	$2,344.23	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,659.59	Professional		$457.09	$707.95	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,445.44 / $1,995.26	Facility		$501.19	$1,445.44	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,258.93	Professional		$436.52	$645.65	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,047.13	Professional		$346.74	$549.54	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,174.90	Professional		$380.19	$630.96	$1,174.90
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 $4,897.79 / $4,897.79 / $5,128.61	Professional		$4,897.79	$4,897.79	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $831.76	Professional		$501.19	$501.19	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $676.08 / $1,071.52	Facility		$436.52	$676.08	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,288.25	Professional		$436.52	$660.69	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,949.84	Professional		$1,445.44	$1,445.44	$1,949.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $741.31	Professional		$354.81	$575.44	$741.31
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 / $537.03 / $1,096.48	Professional		$371.54	$537.03	$1,096.48