Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $1,584.89	Professional		$245.47	$316.23	$1,584.89
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 $229.09 / $309.03 / $741.31	Professional		$229.09	$309.03	$741.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,691.53 / $6,918.31	Facility		$66.07	$2,691.53	$6,918.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $870.96	Professional		$269.15	$389.05	$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 $229.09 / $346.74 / $707.95	Professional		$229.09	$346.74	$707.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $380.19 / $602.56	Professional		$107.15	$380.19	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $676.08	Professional		$288.40	$398.11	$676.08
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 $2,344.23 / $2,754.23 / $2,754.23	Professional		$2,344.23	$2,754.23	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $446.68	Professional		$269.15	$269.15	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $602.56	Facility		$257.04	$380.19	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $741.31	Professional		$229.09	$354.81	$741.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,000.00	Professional		$870.96	$870.96	$1,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $389.05	Professional		$134.90	$204.17	$389.05
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 $204.17 / $275.42 / $588.84	Professional		$204.17	$275.42	$588.84