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 $165.96 / $208.93 / $1,023.29	Professional		$165.96	$208.93	$1,023.29
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 $165.96 / $239.88 / $512.86	Professional		$165.96	$239.88	$512.86
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 $181.97 / $257.04 / $501.19	Professional		$181.97	$257.04	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $478.63	Professional		$181.97	$245.47	$478.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $302.00	Professional		$109.65	$213.80	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $407.38	Professional		$177.83	$234.42	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $1,698.24	Professional		$1,479.11	$1,698.24	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $281.84	Professional		$169.82	$169.82	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $251.19 / $380.19	Facility		$181.97	$251.19	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $489.78	Professional		$181.97	$251.19	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $645.65	Professional		$575.44	$575.44	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $239.88	Professional		$114.82	$181.97	$239.88
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 $144.54 / $194.98 / $398.11	Professional		$144.54	$194.98	$398.11