Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $1,122.02	Professional		$223.87	$338.84	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $630.96	Professional		$186.21	$295.12	$630.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,818.38 / $7,943.28	Facility		$66.07	$2,818.38	$7,943.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $588.84	Professional		$186.21	$295.12	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,621.81 / $2,691.53	Facility		$537.03	$1,621.81	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $676.08	Professional		$239.88	$354.81	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $645.65	Professional		$208.93	$323.59	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $707.95	Professional		$251.19	$407.38	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $28,840.32 / $28,840.32	Facility		$7,943.28	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $2,951.21	Professional		$2,511.89	$2,951.21	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $489.78	Professional		$295.12	$295.12	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $354.81 / $616.60	Facility		$208.93	$354.81	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $741.31	Professional		$239.88	$363.08	$741.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,071.52	Professional		$776.25	$776.25	$1,071.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $457.09	Professional		$239.88	$338.84	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $562.34	Professional		$194.98	$288.40	$562.34