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 $239.88 / $302.00 / $1,412.54	Professional		$239.88	$302.00	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $933.25	Professional		$309.03	$457.09	$933.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $7,762.47	Facility		$66.07	$2,041.74	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $776.25	Professional		$269.15	$398.11	$776.25
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 $269.15 / $346.74 / $724.44	Professional		$269.15	$346.74	$724.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $302.00 / $446.68	Professional		$112.20	$302.00	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $457.09	Professional		$102.33	$234.42	$457.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $28,840.32 / $28,840.32	Facility		$9,332.54	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $380.19	Professional		$229.09	$229.09	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $323.59 / $562.34	Facility		$125.89	$323.59	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $707.95	Professional		$263.03	$338.84	$707.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $371.54 / $562.34	Professional		$102.33	$371.54	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $741.31	Professional		$213.80	$309.03	$741.31