Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $17,378.01	Facility		$1,778.28	$6,025.60	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $1,479.11	Professional		$295.12	$407.38	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,096.48	Professional		$446.68	$575.44	$1,096.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $5,888.44	Facility		$66.07	$2,511.89	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $933.25	Professional		$323.59	$467.74	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $933.25	Professional		$316.23	$446.68	$933.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $1,288.25	Professional		$436.52	$478.63	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $1,023.29	Professional		$363.08	$478.63	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $19,498.45	Facility		$5,248.07	$5,248.07	$19,498.45
Lucent Health Facility/Professional Facility Modifier 62 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	62	$3,311.31	$3,311.31	$3,311.31
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $478.63 / $741.31	Facility		$363.08	$478.63	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $954.99	Professional		$309.03	$457.09	$954.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $489.78	Professional		$354.81	$389.05	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $794.33	Professional		$281.84	$363.08	$794.33