Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,456.54 / $16,982.44	Facility		$2,187.76	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $954.99	Professional		$162.18	$213.80	$954.99
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 $208.93 / $295.12 / $588.84	Professional		$208.93	$295.12	$588.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,090.30 / $8,128.31	Facility		$66.07	$3,090.30	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $537.03	Professional		$173.78	$263.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Facility		$2,137.96	$2,137.96	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $478.63	Professional		$169.82	$223.87	$478.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $338.84	Professional		$162.18	$213.80	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $407.38	Professional		$158.49	$245.47	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $28,840.32 / $28,840.32	Facility		$9,549.93	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $323.59	Professional		$194.98	$194.98	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $416.87	Facility		$186.21	$251.19	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $489.78	Professional		$169.82	$223.87	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $676.08	Professional		$549.54	$549.54	$676.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $295.12	Professional		$158.49	$223.87	$295.12
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 $138.04 / $204.17 / $489.78	Professional		$138.04	$204.17	$489.78