Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,413.10 / $18,197.01	Facility		$2,691.53	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $758.58	Professional		$141.25	$218.78	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $537.03	Professional		$186.21	$269.15	$537.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $9,120.11	Facility		$66.07	$3,890.45	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $478.63	Professional		$165.96	$251.19	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $436.52	Professional		$165.96	$239.88	$436.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $426.58	Professional		$104.71	$208.93	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $478.63	Professional		$165.96	$263.03	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $1,995.26	Professional		$1,698.24	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $331.13	Professional		$194.98	$194.98	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $398.11	Facility		$162.18	$245.47	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $467.74	Professional		$165.96	$245.47	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $707.95	Professional		$512.86	$512.86	$707.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $269.15	Professional		$131.83	$177.83	$269.15
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 $134.90 / $190.55 / $389.05	Professional		$134.90	$190.55	$389.05