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 $85.11 / $204.17 / $588.84	Professional		$85.11	$204.17	$588.84
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 $102.33 / $199.53 / $363.08	Professional		$102.33	$199.53	$363.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,318.26 / $5,754.40	Facility		$66.07	$1,318.26	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $467.74	Professional		$100.00	$239.88	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $1,621.81	Facility		$398.11	$794.33	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $208.93 / $389.05	Professional		$100.00	$208.93	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $398.11	Professional		$95.50	$123.03	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $223.87 / $446.68	Professional		$85.11	$223.87	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $19,498.45 / $19,498.45	Facility		$3,630.78	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,778.28	Professional		$1,479.11	$1,778.28	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $295.12	Professional		$177.83	$177.83	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $204.17 / $389.05	Facility		$95.50	$204.17	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $436.52	Professional		$100.00	$213.80	$436.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $630.96	Professional		$288.40	$288.40	$630.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $257.04	Professional		$87.10	$162.18	$257.04
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 $81.28 / $162.18 / $323.59	Professional		$81.28	$162.18	$323.59