Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,413.10 / $18,197.01	Facility		$2,818.38	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $1,513.56	Professional		$234.42	$389.05	$1,513.56
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 $269.15 / $426.58 / $831.76	Professional		$269.15	$426.58	$831.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,311.31 / $9,120.11	Facility		$66.07	$3,311.31	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $831.76	Professional		$281.84	$416.87	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $776.25	Professional		$269.15	$426.58	$776.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $676.08	Professional		$169.82	$316.23	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $741.31	Professional		$251.19	$407.38	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $45,708.82	Facility		$8,912.51	$8,912.51	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $3,235.94	Professional		$2,818.38	$3,235.94	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $549.54	Professional		$331.13	$331.13	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $416.87 / $660.69	Facility		$281.84	$416.87	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $812.83	Professional		$269.15	$436.52	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,318.26	Professional		$812.83	$812.83	$1,318.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $426.58	Professional		$213.80	$288.40	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $691.83	Professional		$213.80	$338.84	$691.83