Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,165.95 / $16,982.44	Facility		$1,737.80	$6,165.95	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $616.60 / $1,621.81	Professional		$165.96	$616.60	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,445.44 / $2,818.38	Professional		$281.84	$1,445.44	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $676.08 / $1,778.28	Professional		$181.97	$676.08	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $575.44 / $1,548.82	Professional		$181.97	$575.44	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $794.33 / $977.24	Professional		$158.49	$794.33	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $512.86 / $1,122.02	Professional		$147.91	$512.86	$1,122.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,760.83	Facility		$54.95	$56.23	$6,760.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $4,897.79	Professional		$4,168.69	$4,897.79	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $794.33	Professional		$478.63	$478.63	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $630.96 / $1,174.90	Facility		$177.83	$630.96	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $562.34 / $1,548.82	Professional		$181.97	$562.34	$1,548.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $2,398.83	Professional		$549.54	$549.54	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $724.44 / $1,348.96	Professional		$144.54	$724.44	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $588.84 / $1,584.89	Professional		$162.18	$588.84	$1,584.89