Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $16,982.44	Facility		$2,344.23	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $2,630.27	Professional		$389.05	$602.56	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,348.96	Professional		$436.52	$616.60	$1,348.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,019.95 / $8,317.64	Facility		$66.07	$3,019.95	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $1,380.38	Professional		$363.08	$588.84	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,238.72 / $3,090.30	Facility		$501.19	$2,238.72	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,096.48	Professional		$398.11	$588.84	$1,096.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $524.81 / $954.99	Professional		$208.93	$524.81	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,071.52	Professional		$371.54	$588.84	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $28,840.32 / $28,840.32	Facility		$8,912.51	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $4,466.84	Professional		$3,890.45	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $758.58	Professional		$446.68	$446.68	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $575.44 / $933.25	Facility		$380.19	$575.44	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,174.90	Professional		$398.11	$602.56	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,778.28	Professional		$1,348.96	$1,348.96	$1,778.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $602.56	Professional		$263.03	$380.19	$602.56
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 $338.84 / $478.63 / $1,000.00	Professional		$338.84	$478.63	$1,000.00