Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,623.41 / $16,595.87	Facility		$1,202.26	$5,623.41	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $741.31	Professional		$147.91	$204.17	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $13,489.63	Facility		$3,548.13	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $575.44	Professional		$199.53	$295.12	$575.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $251.19 / $1,905.46	Facility		$66.07	$251.19	$1,905.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $489.78	Professional		$158.49	$239.88	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Facility		$416.87	$416.87	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $446.68	Professional		$173.78	$223.87	$446.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $288.40	Professional		$151.36	$204.17	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $371.54	Professional		$151.36	$208.93	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,905.46	Facility		$54.95	$56.23	$1,905.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,513.56	Professional		$1,318.26	$1,513.56	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $257.04	Professional		$154.88	$154.88	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $234.42 / $363.08	Facility		$173.78	$234.42	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $457.09	Professional		$173.78	$223.87	$457.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $602.56	Professional		$512.86	$512.86	$602.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $288.40	Professional		$151.36	$213.80	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $457.09	Professional		$138.04	$199.53	$457.09