Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,585.78 / $18,197.01	Facility		$3,019.95	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $724.44	Professional		$134.90	$165.96	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $549.54	Professional		$199.53	$295.12	$549.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,981.07 / $10,715.19	Facility		$66.07	$3,981.07	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $457.09	Professional		$147.91	$213.80	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,466.84	Facility		$3,801.89	$3,801.89	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $380.19	Professional		$141.25	$173.78	$380.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $426.58	Professional		$125.89	$223.87	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $275.42	Professional		$109.65	$141.25	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $45,708.82 / $45,708.82	Facility		$16,982.44	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $316.23	Facility		$141.25	$194.98	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $380.19	Professional		$141.25	$173.78	$380.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $288.40 / $426.58	Professional		$117.49	$288.40	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $29,512.09	Facility		$7,762.47	$14,125.38	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $363.08	Professional		$114.82	$165.96	$363.08