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 $173.78 / $331.13 / $1,174.90	Professional		$173.78	$331.13	$1,174.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $724.44	Professional		$208.93	$316.23	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,715.19	Facility		$66.07	$3,890.45	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $794.33	Professional		$199.53	$407.38	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $660.69	Professional		$199.53	$354.81	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $575.44	Professional		$213.80	$288.40	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $645.65	Professional		$181.97	$346.74	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $45,708.82	Facility		$19,952.62	$19,952.62	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,235.94	Professional		$2,754.23	$2,754.23	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $457.09	Professional		$275.42	$275.42	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $616.60	Facility		$199.53	$354.81	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $707.95	Professional		$194.98	$371.54	$707.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $1,148.15	Professional		$602.56	$602.56	$1,148.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $389.05 / $524.81	Professional		$186.21	$389.05	$524.81
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 $158.49 / $295.12 / $602.56	Professional		$158.49	$295.12	$602.56