Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,606.93 / $16,982.44	Facility		$2,454.71	$6,606.93	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $691.83	Professional		$114.82	$151.36	$691.83
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 $134.90 / $218.78 / $426.58	Professional		$134.90	$218.78	$426.58
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 $141.25 / $204.17 / $398.11	Professional		$141.25	$204.17	$398.11
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 $134.90 / $165.96 / $354.81	Professional		$134.90	$165.96	$354.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $169.82	Professional		$60.26	$125.89	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $275.42	Professional		$114.82	$141.25	$275.42
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 $1,071.52 / $1,096.48 / $1,096.48	Professional		$1,071.52	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $263.03	Facility		$128.82	$173.78	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $346.74	Professional		$131.83	$165.96	$346.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $117.49	Professional		$60.26	$102.33	$117.49
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 $107.15 / $144.54 / $363.08	Professional		$107.15	$144.54	$363.08