Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $645.65	Professional		$112.20	$199.53	$645.65
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 $117.49 / $186.21 / $380.19	Professional		$117.49	$186.21	$380.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,344.23 / $6,606.93	Facility		$66.07	$2,344.23	$6,606.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $457.09	Professional		$138.04	$234.42	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,584.89 / $2,630.27	Facility		$398.11	$1,584.89	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $407.38	Professional		$125.89	$218.78	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $154.88 / $371.54	Professional		$63.10	$154.88	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $407.38	Professional		$120.23	$218.78	$407.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $19,498.45 / $19,498.45	Facility		$7,943.28	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,819.70	Professional		$1,548.82	$1,819.70	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $302.00	Professional		$177.83	$177.83	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $380.19	Facility		$117.49	$208.93	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $446.68	Professional		$125.89	$229.09	$446.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $660.69	Professional		$380.19	$380.19	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $239.88	Professional		$79.43	$114.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $9,549.93	Facility		$1,819.70	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $338.84	Professional		$102.33	$173.78	$338.84