Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,943.28 / $18,197.01	Facility		$2,951.21	$7,943.28	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $1,862.09	Professional		$389.05	$524.81	$1,862.09
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 $501.19 / $741.31 / $1,318.26	Professional		$501.19	$741.31	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,762.47	Facility		$66.07	$2,754.23	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,122.02	Professional		$398.11	$562.34	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $1,096.48	Professional		$416.87	$537.03	$1,096.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $630.96	Professional		$346.74	$467.74	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $954.99	Professional		$380.19	$501.19	$954.99
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 $3,019.95 / $3,630.78 / $3,630.78	Professional		$3,019.95	$3,630.78	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $537.03 / $851.14	Facility		$416.87	$537.03	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,096.48	Professional		$416.87	$549.54	$1,096.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $741.31	Professional		$380.19	$512.86	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $891.25	Professional		$331.13	$446.68	$891.25