Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $4,897.79 / $15,848.93	Facility		$467.74	$4,897.79	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $851.14	Professional		$95.50	$257.04	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $467.74	Professional		$123.03	$194.98	$467.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $162.18 / $5,754.40	Facility		$66.07	$162.18	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $537.03	Professional		$120.23	$239.88	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $104.71	Facility		$89.13	$89.13	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $660.69	Professional		$107.15	$245.47	$660.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $575.44	Professional		$100.00	$125.89	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $371.54 / $741.31	Professional		$100.00	$371.54	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $19,498.45 / $19,498.45	Facility		$1,995.26	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $2,951.21	Professional		$2,454.71	$2,951.21	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $478.63	Professional		$288.40	$288.40	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $251.19 / $630.96	Facility		$120.23	$251.19	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $691.83	Professional		$107.15	$245.47	$691.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,122.02	Professional		$338.84	$338.84	$1,122.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $446.68	Professional		$97.72	$147.91	$446.68
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 $91.20 / $223.87 / $630.96	Professional		$91.20	$223.87	$630.96