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 $223.87 / $295.12 / $1,513.56	Professional		$223.87	$295.12	$1,513.56
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 $208.93 / $269.15 / $575.44	Professional		$208.93	$269.15	$575.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,238.72 / $6,165.95	Facility		$66.07	$2,238.72	$6,165.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $575.44	Professional		$194.98	$275.42	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,659.59 / $3,311.31	Facility		$630.96	$1,659.59	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $616.60	Professional		$213.80	$323.59	$616.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $354.81 / $478.63	Professional		$93.33	$354.81	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $660.69	Professional		$275.42	$346.74	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,943.28	Facility		$54.95	$56.23	$7,943.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $2,398.83	Professional		$1,949.84	$2,398.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $338.84 / $562.34	Facility		$208.93	$338.84	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $691.83	Professional		$208.93	$323.59	$691.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $323.59	Professional		$117.49	$165.96	$323.59
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 $190.55 / $263.03 / $537.03	Professional		$190.55	$263.03	$537.03