Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,387.21	Facility		$3,548.13	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $3,548.13	Professional		$562.34	$758.58	$3,548.13
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 $630.96 / $912.01 / $2,041.74	Professional		$630.96	$912.01	$2,041.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,884.03 / $10,964.78	Facility		$66.07	$2,884.03	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,778.28	Professional		$537.03	$741.31	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $3,090.30	Facility		$707.95	$2,238.72	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,698.24	Professional		$549.54	$776.25	$1,698.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $912.01	Professional		$489.78	$724.44	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,202.26	Professional		$537.03	$691.83	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $33,884.42 / $33,884.42	Facility		$8,912.51	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $794.33 / $1,288.25	Facility		$602.56	$794.33	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,698.24	Professional		$549.54	$794.33	$1,698.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,047.13	Professional		$549.54	$724.44	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,380.38	Professional		$489.78	$630.96	$1,380.38