Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,623.41 / $16,982.44	Facility		$457.09	$5,623.41	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $1,047.13	Professional		$223.87	$302.00	$1,047.13
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 $239.88 / $354.81 / $724.44	Professional		$239.88	$354.81	$724.44
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 $223.87 / $338.84 / $691.83	Professional		$223.87	$338.84	$691.83
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 $245.47 / $331.13 / $660.69	Professional		$245.47	$331.13	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $380.19 / $549.54	Professional		$125.89	$380.19	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $707.95	Professional		$323.59	$416.87	$707.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,659.59	Facility		$54.95	$56.23	$1,659.59
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	54	$1,148.15	$1,148.15	$1,148.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $2,570.40	Professional		$2,187.76	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $426.58	Professional		$257.04	$257.04	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $588.84	Facility		$245.47	$398.11	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $707.95	Professional		$245.47	$346.74	$707.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $912.01	Professional		$851.14	$851.14	$912.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $416.87	Professional		$128.82	$213.80	$416.87
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 $204.17 / $269.15 / $562.34	Professional		$204.17	$269.15	$562.34