Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,754.40 / $16,595.87	Facility		$1,348.96	$5,754.40	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $1,047.13	Professional		$234.42	$309.03	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $758.58	Professional		$275.42	$380.19	$758.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $223.87 / $5,888.44	Facility		$66.07	$223.87	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $724.44	Professional		$234.42	$354.81	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $707.95	Professional		$257.04	$346.74	$707.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $389.05 / $512.86	Professional		$154.88	$389.05	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $660.69	Professional		$295.12	$398.11	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility	54	$1,202.26	$1,202.26	$1,202.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $2,630.27	Professional		$2,238.72	$2,630.27	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $426.58	Professional		$257.04	$257.04	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $380.19 / $588.84	Facility		$251.19	$380.19	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $741.31	Professional		$251.19	$363.08	$741.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $954.99	Professional		$870.96	$870.96	$954.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $398.11	Professional		$154.88	$234.42	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $588.84	Professional		$213.80	$281.84	$588.84