Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $5,623.41 / $16,595.87	Facility		$588.84	$5,623.41	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $1,548.82	Professional		$275.42	$407.38	$1,548.82
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 $302.00 / $426.58 / $870.96	Professional		$302.00	$426.58	$870.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $239.88 / $1,778.28	Facility		$66.07	$239.88	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $870.96	Professional		$281.84	$426.58	$870.96
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 $309.03 / $407.38 / $812.83	Professional		$309.03	$407.38	$812.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $398.11 / $602.56	Professional		$134.90	$398.11	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $776.25	Professional		$331.13	$446.68	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	54	$1,348.96	$1,348.96	$1,348.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $3,019.95	Professional		$2,570.40	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $501.19	Professional		$302.00	$302.00	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $660.69	Facility		$302.00	$436.52	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $831.76	Professional		$302.00	$426.58	$831.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,122.02	Professional		$1,000.00	$1,000.00	$1,122.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $446.68	Professional		$141.25	$229.09	$446.68
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 $245.47 / $331.13 / $676.08	Professional		$245.47	$331.13	$676.08