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 $239.88 / $416.87 / $1,621.81	Professional		$239.88	$416.87	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $891.25	Professional		$251.19	$363.08	$891.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $407.38 / $549.54 / $707.95	Professional	50	$407.38	$549.54	$707.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $7,762.47	Facility		$66.07	$2,570.40	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $933.25	Professional		$251.19	$436.52	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,778.28	Facility		$1,513.56	$1,513.56	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $870.96	Professional		$257.04	$426.58	$870.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $630.96	Professional		$181.97	$295.12	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $794.33	Professional		$257.04	$436.52	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $28,840.32 / $28,840.32	Facility		$6,760.83	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $3,388.44	Professional		$2,884.03	$3,388.44	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $575.44	Professional		$338.84	$338.84	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $707.95	Facility		$245.47	$407.38	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $912.01	Professional		$257.04	$426.58	$912.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,318.26	Professional		$831.76	$831.76	$1,318.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $446.68	Professional		$186.21	$269.15	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $912.01	Professional		$218.78	$363.08	$912.01