Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $9,772.37 / $18,620.87	Facility		$3,388.44	$9,772.37	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $1,096.48	Professional		$194.98	$309.03	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $776.25	Professional		$251.19	$380.19	$776.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,090.30 / $12,302.69	Facility		$66.07	$3,090.30	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $724.44	Professional		$229.09	$346.74	$724.44
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 $213.80 / $275.42 / $562.34	Professional		$213.80	$275.42	$562.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $371.54	Professional		$223.87	$275.42	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $467.74	Professional		$199.53	$275.42	$467.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $42,657.95 / $42,657.95	Facility		$9,549.93	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $707.95	Professional		$426.58	$426.58	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $302.00 / $467.74	Facility		$223.87	$302.00	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $588.84	Professional		$213.80	$281.84	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $758.58	Professional		$691.83	$691.83	$758.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $380.19	Professional		$199.53	$263.03	$380.19
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 $181.97 / $257.04 / $575.44	Professional		$181.97	$257.04	$575.44