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 $117.49 / $218.78 / $741.31	Professional		$117.49	$218.78	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $588.84	Professional		$147.91	$257.04	$588.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,019.95 / $8,317.64	Facility		$66.07	$3,019.95	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $512.86	Professional		$134.90	$245.47	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,398.83	Facility		$2,041.74	$2,041.74	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $457.09	Professional		$128.82	$223.87	$457.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $346.74	Professional		$75.86	$120.23	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $398.11	Professional		$107.15	$229.09	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $28,840.32 / $28,840.32	Facility		$9,120.11	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,819.70	Professional		$1,548.82	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $302.00	Professional		$181.97	$181.97	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $234.42 / $398.11	Facility		$125.89	$234.42	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $467.74	Professional		$125.89	$229.09	$467.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $707.95	Professional		$389.05	$389.05	$707.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $234.42	Professional		$95.50	$128.82	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,365.16 / $9,772.37	Facility		$2,290.87	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $457.09	Professional		$107.15	$190.55	$457.09