Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $2,398.83	Professional		$512.86	$741.31	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $2,137.96	Professional		$630.96	$977.24	$2,137.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,884.03 / $8,709.64	Facility		$66.07	$2,884.03	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $2,041.74	Professional		$645.65	$870.96	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,445.44 / $1,995.26	Facility		$575.44	$1,445.44	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,778.28	Professional		$602.56	$831.76	$1,778.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $691.83 / $933.25	Professional		$288.40	$691.83	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,445.44	Professional		$549.54	$707.95	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $45,708.82 / $45,708.82	Facility		$5,754.40	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,623.41 / $5,623.41	Professional		$4,897.79	$5,623.41	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,258.93	Facility		$588.84	$812.83	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,778.28	Professional		$602.56	$851.14	$1,778.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $645.65	Professional		$363.08	$501.19	$645.65
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 $537.03 / $691.83 / $1,445.44	Professional		$537.03	$691.83	$1,445.44