Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $16,595.87	Facility		$1,584.89	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $870.96	Professional		$125.89	$158.49	$870.96
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 $144.54 / $199.53 / $416.87	Professional		$144.54	$199.53	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $223.87 / $5,888.44	Facility		$66.07	$223.87	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $354.81	Professional		$128.82	$186.21	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $371.54	Professional		$131.83	$181.97	$371.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $288.40	Professional		$114.82	$213.80	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $363.08	Professional		$169.82	$223.87	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,498.45	Facility		$1,995.26	$1,995.26	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,348.96	Professional		$1,122.02	$1,348.96	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $218.78	Professional		$131.83	$131.83	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $316.23	Facility		$151.36	$223.87	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $389.05	Professional		$131.83	$186.21	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $245.47	Professional		$120.23	$186.21	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $309.03	Professional		$112.20	$144.54	$309.03