Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $158.49 / $478.63	Professional		$40.74	$158.49	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $302.00	Professional		$52.48	$83.18	$302.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $134.90 / $302.00	Professional		$42.66	$134.90	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $173.78 / $407.38	Professional		$48.98	$173.78	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $138.04 / $380.19	Professional		$42.66	$138.04	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $204.17 / $407.38	Professional		$38.02	$204.17	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,949.84	Professional		$1,737.80	$1,737.80	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $141.25 / $380.19	Facility		$44.67	$141.25	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $177.83 / $446.68	Professional		$48.98	$177.83	$446.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $660.69	Professional		$151.36	$151.36	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $223.87 / $295.12	Professional		$38.90	$223.87	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $141.25 / $331.13	Professional		$40.74	$141.25	$331.13