Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $562.34	Professional		$100.00	$120.23	$562.34
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 / $158.49 / $281.84	Professional		$117.49	$158.49	$281.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,479.11 / $5,754.40	Facility		$66.07	$1,479.11	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $302.00	Professional		$112.20	$158.49	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,288.25	Facility		$398.11	$645.65	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $263.03	Professional		$109.65	$144.54	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $165.96	Professional		$102.33	$112.20	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $218.78	Professional		$85.11	$104.71	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $19,498.45 / $19,498.45	Facility		$2,884.03	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $239.88	Facility		$102.33	$144.54	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $269.15	Professional		$109.65	$144.54	$269.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $239.88	Professional		$93.33	$154.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,168.69 / $9,549.93	Facility		$1,737.80	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $223.87	Professional		$87.10	$117.49	$223.87