Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,165.95 / $16,595.87	Facility		$2,137.96	$6,165.95	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $1,122.02	Professional		$199.53	$309.03	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $912.01	Professional		$213.80	$389.05	$912.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,023.29 / $7,762.47	Facility		$66.07	$1,023.29	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $691.83	Professional		$199.53	$323.59	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $616.60	Professional		$213.80	$338.84	$616.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $524.81	Professional		$218.78	$269.15	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $691.83	Professional		$194.98	$380.19	$691.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $28,840.32 / $28,840.32	Facility		$5,623.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $562.34 / $562.34 / $562.34	Facility	AS	$562.34	$562.34	$562.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $2,884.03	Professional		$2,454.71	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $489.78	Professional		$288.40	$288.40	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $549.54	Facility		$194.98	$323.59	$549.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	AS	$37.15	$37.15	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $645.65	Professional		$213.80	$331.13	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,148.15	Professional		$724.44	$724.44	$1,148.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $489.78	Professional		$199.53	$371.54	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,000.00	Facility		$2,344.23	$4,365.16	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $588.84	Professional		$186.21	$295.12	$588.84