Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,888.44 / $16,595.87	Facility		$1,174.90	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $446.68	Professional		$114.82	$154.88	$446.68
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 $117.49 / $162.18 / $363.08	Professional		$117.49	$162.18	$363.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $223.87 / $1,778.28	Facility		$66.07	$223.87	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $338.84	Professional		$112.20	$169.82	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $338.84	Professional		$123.03	$173.78	$338.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $186.21 / $245.47	Professional		$57.54	$186.21	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $323.59	Professional		$141.25	$186.21	$323.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	54	$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,258.93	Professional		$1,071.52	$1,258.93	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $204.17	Professional		$123.03	$123.03	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $181.97 / $275.42	Facility		$120.23	$181.97	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $346.74	Professional		$123.03	$177.83	$346.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $478.63	Professional		$407.38	$407.38	$478.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $190.55	Professional		$57.54	$85.11	$190.55
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 $100.00 / $134.90 / $288.40	Professional		$100.00	$134.90	$288.40