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 $181.97 / $218.78 / $1,096.48	Professional		$181.97	$218.78	$1,096.48
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 $190.55 / $245.47 / $446.68	Professional		$190.55	$245.47	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,912.51	Facility		$66.07	$3,388.44	$8,912.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $524.81	Professional		$190.55	$275.42	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,659.59 / $3,548.13	Facility		$616.60	$1,659.59	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $501.19	Professional		$190.55	$257.04	$501.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $295.12	Professional		$117.49	$177.83	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $416.87	Professional		$169.82	$218.78	$416.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $1,659.59	Professional		$1,445.44	$1,659.59	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $407.38	Facility		$186.21	$257.04	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $501.19	Professional		$186.21	$263.03	$501.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $245.47	Professional		$123.03	$177.83	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,244.36 / $15,135.61	Facility		$2,951.21	$7,244.36	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $398.11	Professional		$151.36	$204.17	$398.11