Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,585.78 / $18,197.01	Facility		$2,951.21	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $1,000.00	Professional		$173.78	$208.93	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $616.60	Professional		$218.78	$302.00	$616.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,344.23 / $11,748.98	Facility		$66.07	$2,344.23	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $549.54	Professional		$173.78	$257.04	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,715.35	Facility		$3,162.28	$3,162.28	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $537.03	Professional		$194.98	$251.19	$537.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $234.42	Professional		$151.36	$173.78	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $354.81	Professional		$154.88	$194.98	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,125.38	Facility		$54.95	$56.23	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $45,708.82	Professional		$1,548.82	$1,548.82	$45,708.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $371.54	Facility		$162.18	$213.80	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $524.81	Professional		$194.98	$251.19	$524.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $257.04	Professional		$138.04	$190.55	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,022.64 / $25,703.96	Facility		$6,456.54	$12,022.64	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $562.34	Professional		$162.18	$218.78	$562.34