Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,309.57 / $16,982.44	Facility		$2,187.76	$6,309.57	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $933.25	Professional		$147.91	$281.84	$933.25
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 $151.36 / $239.88 / $575.44	Professional		$151.36	$239.88	$575.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,454.71 / $7,762.47	Facility		$66.07	$2,454.71	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $645.65	Professional		$177.83	$331.13	$645.65
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 $169.82 / $302.00 / $562.34	Professional		$169.82	$302.00	$562.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $575.44	Professional		$114.82	$213.80	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $645.65	Professional		$165.96	$346.74	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $28,840.32	Facility		$3,981.07	$3,981.07	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,570.40	Professional		$2,137.96	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $416.87	Professional		$251.19	$251.19	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $295.12 / $537.03	Facility		$165.96	$295.12	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $630.96	Professional		$169.82	$316.23	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $977.24	Professional		$512.86	$512.86	$977.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $363.08	Professional		$144.54	$194.98	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $489.78	Professional		$134.90	$245.47	$489.78