Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,456.54 / $16,982.44	Facility		$2,187.76	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,318.26	Professional		$323.59	$478.63	$1,318.26
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 $371.54 / $501.19 / $954.99	Professional		$371.54	$501.19	$954.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $9,332.54	Facility		$66.07	$3,388.44	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,023.29	Professional		$371.54	$549.54	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,388.44 / $5,370.32	Facility		$537.03	$3,388.44	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $933.25	Professional		$346.74	$512.86	$933.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $776.25	Professional		$275.42	$398.11	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $870.96	Professional		$316.23	$501.19	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $28,840.32 / $28,840.32	Facility		$16,595.87	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $3,801.89	Professional		$3,235.94	$3,801.89	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $616.60	Professional		$371.54	$371.54	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $524.81 / $870.96	Facility		$346.74	$524.81	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $977.24	Professional		$346.74	$524.81	$977.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $588.84	Professional		$288.40	$398.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,413.10 / $15,135.61	Facility		$3,090.30	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $812.83	Professional		$295.12	$426.58	$812.83