Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $10,000.00 / $22,908.68	Facility		$2,041.74	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $977.24	Professional		$162.18	$281.84	$977.24
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 $169.82 / $288.40 / $588.84	Professional		$169.82	$288.40	$588.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $363.08 / $1,778.28	Facility		$66.07	$363.08	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $537.03	Professional		$165.96	$269.15	$537.03
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 $181.97 / $281.84 / $575.44	Professional		$181.97	$281.84	$575.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $524.81	Professional		$199.53	$239.88	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $660.69	Professional		$177.83	$346.74	$660.69
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 $2,238.72 / $2,630.27 / $2,630.27	Professional		$2,238.72	$2,630.27	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $426.58	Professional		$257.04	$257.04	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $295.12 / $524.81	Facility		$190.55	$295.12	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $616.60	Professional		$181.97	$302.00	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $954.99	Professional		$588.84	$588.84	$954.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $436.52	Professional		$177.83	$331.13	$436.52
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 $151.36 / $234.42 / $489.78	Professional		$151.36	$234.42	$489.78