Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $1,412.54	Professional		$239.88	$389.05	$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 $269.15 / $407.38 / $794.33	Professional		$269.15	$407.38	$794.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $8,709.64	Facility		$66.07	$2,630.27	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $851.14	Professional		$263.03	$436.52	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $794.33	Professional		$275.42	$426.58	$794.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $575.44	Professional		$165.96	$316.23	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $724.44	Professional		$251.19	$398.11	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $13,489.63	Facility		$2,951.21	$2,951.21	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $3,162.28	Professional		$2,754.23	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $537.03	Professional		$323.59	$323.59	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $407.38 / $645.65	Facility		$257.04	$407.38	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $851.14	Professional		$275.42	$446.68	$851.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,318.26	Professional		$831.76	$831.76	$1,318.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $416.87	Professional		$208.93	$281.84	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $691.83	Professional		$218.78	$346.74	$691.83