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 / $17,782.79	Facility		$2,290.87	$6,456.54	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $954.99	Professional		$190.55	$251.19	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $676.08	Professional		$229.09	$331.13	$676.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $7,762.47	Facility		$66.07	$2,630.27	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $630.96	Professional		$194.98	$316.23	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $537.03	Professional		$199.53	$263.03	$537.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $331.13	Professional		$154.88	$194.98	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $426.58	Professional		$173.78	$251.19	$426.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $28,840.32 / $28,840.32	Facility		$5,495.41	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,238.72	Professional		$1,949.84	$1,949.84	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $331.13	Professional		$199.53	$199.53	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $281.84 / $436.52	Facility		$190.55	$281.84	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $537.03	Professional		$199.53	$269.15	$537.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $741.31	Professional		$616.60	$616.60	$741.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $309.03	Professional		$154.88	$218.78	$309.03
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 $169.82 / $251.19 / $549.54	Professional		$169.82	$251.19	$549.54