Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $2,089.30	Professional		$316.23	$407.38	$2,089.30
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 $371.54 / $537.03 / $1,000.00	Professional		$371.54	$537.03	$1,000.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $239.88 / $5,888.44	Facility		$66.07	$239.88	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $912.01	Professional		$316.23	$457.09	$912.01
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 $338.84 / $457.09 / $912.01	Professional		$338.84	$457.09	$912.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $660.69	Professional		$354.81	$489.78	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $851.14	Professional		$380.19	$501.19	$851.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $19,498.45	Facility		$2,290.87	$2,290.87	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $3,467.37	Professional		$2,951.21	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $575.44	Professional		$338.84	$338.84	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $758.58	Facility		$331.13	$478.63	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $977.24	Professional		$331.13	$467.74	$977.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,258.93	Professional		$1,174.90	$1,174.90	$1,258.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $707.95	Professional		$371.54	$489.78	$707.95
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 $281.84 / $371.54 / $776.25	Professional		$281.84	$371.54	$776.25