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 $125.89 / $177.83 / $724.44	Professional		$125.89	$177.83	$724.44
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 $141.25 / $213.80 / $416.87	Professional		$141.25	$213.80	$416.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,995.26 / $5,754.40	Facility		$66.07	$1,995.26	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $416.87	Professional		$134.90	$208.93	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $380.19	Professional		$141.25	$199.53	$380.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $295.12	Professional		$85.11	$162.18	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $338.84	Professional		$128.82	$194.98	$338.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $19,498.45	Facility		$4,786.30	$4,786.30	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,445.44	Professional		$1,258.93	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $245.47	Professional		$147.91	$147.91	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $309.03	Facility		$141.25	$199.53	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $389.05	Professional		$141.25	$204.17	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $588.84	Professional		$436.52	$436.52	$588.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $190.55	Professional		$107.15	$144.54	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $323.59	Professional		$114.82	$162.18	$323.59