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 $165.96 / $398.11 / $1,348.96	Professional		$165.96	$398.11	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $13,489.63	Facility		$3,548.13	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $1,071.52	Professional		$204.17	$446.68	$1,071.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $812.83 / $7,762.47	Facility		$66.07	$812.83	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $851.14	Professional		$181.97	$389.05	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $467.74	Facility		$398.11	$398.11	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $831.76	Professional		$173.78	$407.38	$831.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $512.86	Professional		$151.36	$190.55	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $346.74 / $707.95	Professional		$151.36	$346.74	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $28,840.32 / $28,840.32	Facility		$1,995.26	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,019.95 / $3,019.95	Professional		$2,951.21	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $524.81	Professional		$316.23	$316.23	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $707.95	Facility		$181.97	$363.08	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $407.38 / $912.01	Professional		$173.78	$407.38	$912.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,318.26	Professional		$537.03	$537.03	$1,318.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $398.11	Professional		$151.36	$213.80	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $794.33	Professional		$158.49	$346.74	$794.33