Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $9,549.93 / $22,387.21	Facility		$3,548.13	$9,549.93	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $1,258.93	Professional		$223.87	$288.40	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $794.33	Professional		$275.42	$398.11	$794.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,964.78	Facility		$66.07	$3,890.45	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $691.83	Professional		$239.88	$354.81	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Facility		$2,089.30	$2,089.30	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $660.69	Professional		$239.88	$309.03	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $338.84	Professional		$223.87	$234.42	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $489.78	Professional		$208.93	$263.03	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $33,884.42 / $33,884.42	Facility		$9,332.54	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $1,949.84	Professional		$1,737.80	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $316.23 / $524.81	Facility		$245.47	$316.23	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $630.96	Professional		$229.09	$302.00	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $478.63	Professional		$213.80	$316.23	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $16,218.10	Facility		$3,981.07	$7,585.78	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $660.69	Professional		$199.53	$295.12	$660.69