Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,000.00 / $22,908.68	Facility		$2,454.71	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $1,071.52	Professional		$173.78	$323.59	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $588.84	Professional		$173.78	$288.40	$588.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $181.97 / $1,778.28	Facility		$66.07	$181.97	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $549.54	Professional		$169.82	$269.15	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $660.69	Professional		$190.55	$309.03	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $724.44	Professional		$218.78	$275.42	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $478.63 / $891.25	Professional		$218.78	$478.63	$891.25
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 $2,630.27 / $3,235.94 / $3,235.94	Professional		$2,630.27	$3,235.94	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $512.86	Professional		$309.03	$309.03	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $331.13 / $707.95	Facility		$213.80	$331.13	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $741.31	Professional		$190.55	$331.13	$741.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,096.48	Professional		$616.60	$616.60	$1,096.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $512.86	Professional		$213.80	$354.81	$512.86
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 $154.88 / $257.04 / $575.44	Professional		$154.88	$257.04	$575.44