Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,309.57 / $16,982.44	Facility		$2,137.96	$6,309.57	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $1,513.56	Professional		$323.59	$457.09	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,348.96	Professional		$426.58	$630.96	$1,348.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $7,762.47	Facility		$66.07	$2,041.74	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,318.26	Professional		$416.87	$616.60	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Facility		$891.25	$891.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $1,023.29	Professional		$363.08	$512.86	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $812.83	Professional		$354.81	$467.74	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $977.24	Professional		$346.74	$549.54	$977.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,981.07	Facility		$54.95	$56.23	$3,981.07
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $398.11 / $398.11 / $398.11	Facility	AS	$398.11	$398.11	$398.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $4,073.80	Professional		$3,388.44	$4,073.80	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $676.08	Professional		$398.11	$398.11	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $891.25	Facility		$389.05	$562.34	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,148.15	Professional		$346.74	$524.81	$1,148.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,513.56	Professional		$1,071.52	$1,071.52	$1,513.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $724.44	Professional		$346.74	$537.03	$724.44
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 $309.03 / $457.09 / $1,071.52	Professional		$309.03	$457.09	$1,071.52