Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,165.95 / $16,595.87	Facility		$1,778.28	$6,165.95	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $234.42 / $1,023.29	Professional		$61.66	$234.42	$1,023.29
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 $165.96 / $239.88 / $501.19	Professional		$165.96	$239.88	$501.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,995.26 / $7,762.47	Facility		$66.07	$1,995.26	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $512.86	Professional		$144.54	$263.03	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $234.42 / $457.09	Professional		$107.15	$234.42	$457.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $263.03	Professional		$60.26	$81.28	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $154.88 / $323.59	Professional		$54.95	$154.88	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $28,840.32	Facility		$3,715.35	$3,715.35	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $218.78	Professional		$131.83	$131.83	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $199.53 / $363.08	Facility		$66.07	$199.53	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $234.42 / $436.52	Professional		$112.20	$234.42	$436.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $912.01	Professional		$489.78	$489.78	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $181.97	Professional		$54.95	$112.20	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $9,772.37	Facility		$2,290.87	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $426.58	Professional		$112.20	$208.93	$426.58