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 $79.43 / $186.21 / $549.54	Professional		$79.43	$186.21	$549.54
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 / $295.12 / $478.63	Professional		$117.49	$295.12	$478.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,230.27 / $5,754.40	Facility		$66.07	$1,230.27	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $398.11	Professional		$91.20	$204.17	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $331.13 / $891.25	Facility		$154.88	$331.13	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $389.05	Professional		$91.20	$204.17	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $309.03	Professional		$69.18	$89.13	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $186.21 / $380.19	Professional		$66.07	$186.21	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $741.31	Facility		$54.95	$56.23	$741.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,621.81	Professional		$1,380.38	$1,621.81	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $263.03	Professional		$158.49	$158.49	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $186.21 / $354.81	Facility		$79.43	$186.21	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $426.58	Professional		$91.20	$208.93	$426.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $645.65	Professional		$269.15	$269.15	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $234.42	Professional		$67.61	$97.72	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $9,549.93	Facility		$1,778.28	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $158.49 / $309.03	Professional		$74.13	$158.49	$309.03