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 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $812.83	Professional		$134.90	$194.98	$812.83
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 $165.96 / $257.04 / $524.81	Professional		$165.96	$257.04	$524.81
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 $144.54 / $218.78 / $446.68	Professional		$144.54	$218.78	$446.68
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 $141.25 / $190.55 / $416.87	Professional		$141.25	$190.55	$416.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $316.23	Professional		$154.88	$218.78	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $371.54	Professional		$134.90	$213.80	$371.54
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 $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $288.40	Professional		$173.78	$173.78	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $354.81	Facility		$158.49	$213.80	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $416.87	Professional		$141.25	$194.98	$416.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $588.84	Professional		$457.09	$457.09	$588.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $371.54	Professional		$138.04	$218.78	$371.54
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 $114.82 / $169.82 / $416.87	Professional		$114.82	$169.82	$416.87