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 $208.93 / $257.04 / $1,412.54	Professional		$208.93	$257.04	$1,412.54
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 $223.87 / $309.03 / $676.08	Professional		$223.87	$309.03	$676.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $912.01 / $5,888.44	Facility		$66.07	$912.01	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $575.44	Professional		$204.17	$288.40	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $588.84	Professional		$213.80	$295.12	$588.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $426.58	Professional		$177.83	$338.84	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $549.54	Professional		$257.04	$331.13	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $19,498.45	Facility		$4,786.30	$4,786.30	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,187.76	Professional		$1,819.70	$2,187.76	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $354.81	Professional		$213.80	$213.80	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $489.78	Facility		$218.78	$323.59	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $630.96	Professional		$213.80	$295.12	$630.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $380.19	Professional		$186.21	$269.15	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $9,772.37	Facility		$2,290.87	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $489.78	Professional		$177.83	$234.42	$489.78