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 $263.03 / $338.84 / $1,445.44	Professional		$263.03	$338.84	$1,445.44
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 $316.23 / $467.74 / $954.99	Professional		$316.23	$467.74	$954.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $9,120.11	Facility		$66.07	$3,388.44	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $812.83	Professional		$275.42	$407.38	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $758.58	Professional		$275.42	$354.81	$758.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $363.08	Professional		$229.09	$269.15	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $562.34	Professional		$239.88	$302.00	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $28,840.32 / $28,840.32	Facility		$14,454.40	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,290.87	Professional		$1,995.26	$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 $288.40 / $371.54 / $562.34	Facility		$288.40	$371.54	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $724.44	Professional		$269.15	$354.81	$724.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $489.78	Professional		$229.09	$316.23	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $758.58	Professional		$234.42	$338.84	$758.58