Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,982.44	Facility		$2,398.83	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $1,412.54	Professional		$269.15	$331.13	$1,412.54
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 $309.03 / $416.87 / $724.44	Professional		$309.03	$416.87	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,317.64	Facility		$66.07	$3,388.44	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $794.33	Professional		$316.23	$446.68	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,801.89 / $6,309.57	Facility		$537.03	$3,801.89	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $691.83	Professional		$288.40	$389.05	$691.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $363.08	Professional		$165.96	$269.15	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $562.34	Professional		$229.09	$281.84	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $28,840.32 / $28,840.32	Facility		$17,782.79	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,290.87	Professional		$2,041.74	$2,290.87	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $389.05 / $630.96	Facility		$275.42	$389.05	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $707.95	Professional		$275.42	$389.05	$707.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $354.81	Professional		$208.93	$251.19	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $9,772.37 / $20,892.96	Facility		$4,073.80	$9,772.37	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $575.44	Professional		$229.09	$323.59	$575.44