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 $169.82 / $275.42 / $1,122.02	Professional		$169.82	$275.42	$1,122.02
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 $204.17 / $263.03 / $537.03	Professional		$204.17	$263.03	$537.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,290.87 / $7,762.47	Facility		$66.07	$2,290.87	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $501.19	Professional		$162.18	$234.42	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $1,659.59	Facility		$630.96	$1,096.48	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $776.25	Professional		$181.97	$251.19	$776.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $954.99	Professional		$147.91	$223.87	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $512.86 / $1,047.13	Professional		$181.97	$512.86	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,897.79	Facility		$54.95	$56.23	$4,897.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $4,466.84	Professional		$3,715.35	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $741.31	Professional		$446.68	$446.68	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $295.12 / $870.96	Facility		$186.21	$295.12	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $933.25	Professional		$177.83	$263.03	$933.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $676.08	Professional		$162.18	$223.87	$676.08
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 $151.36 / $208.93 / $588.84	Professional		$151.36	$208.93	$588.84