Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $16,595.87	Facility		$1,584.89	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $602.56	Professional		$104.71	$173.78	$602.56
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 $114.82 / $173.78 / $331.13	Professional		$114.82	$173.78	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $457.09 / $1,778.28	Facility		$66.07	$457.09	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $354.81	Professional		$120.23	$186.21	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $162.18 / $389.05	Facility		$50.12	$162.18	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $346.74	Professional		$114.82	$181.97	$346.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $281.84	Professional		$95.50	$125.89	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $338.84	Professional		$102.33	$186.21	$338.84
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 $1,288.25 / $1,479.11 / $1,479.11	Professional		$1,288.25	$1,479.11	$1,479.11
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 $112.20 / $181.97 / $309.03	Facility		$112.20	$181.97	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $380.19	Professional		$114.82	$186.21	$380.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $588.84	Professional		$363.08	$363.08	$588.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $218.78	Professional		$95.50	$134.90	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,479.11 / $6,025.60	Facility		$426.58	$1,479.11	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $288.40	Professional		$95.50	$151.36	$288.40