Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,025.60 / $16,595.87	Facility		$1,698.24	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $1,412.54	Professional		$239.88	$407.38	$1,412.54
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 / $416.87 / $831.76	Professional		$275.42	$416.87	$831.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $6,918.31	Facility		$66.07	$2,570.40	$6,918.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $870.96	Professional		$257.04	$436.52	$870.96
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 $275.42 / $436.52 / $812.83	Professional		$275.42	$436.52	$812.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $707.95	Professional		$165.96	$363.08	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $794.33	Professional		$263.03	$436.52	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $19,498.45	Facility		$8,912.51	$8,912.51	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $3,467.37	Professional		$2,951.21	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $575.44	Professional		$346.74	$346.74	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $691.83	Facility		$275.42	$426.58	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $851.14	Professional		$275.42	$457.09	$851.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,412.54	Professional		$870.96	$870.96	$1,412.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $457.09	Professional		$208.93	$281.84	$457.09
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 $229.09 / $354.81 / $724.44	Professional		$229.09	$354.81	$724.44