Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,471.29 / $19,952.62	Facility		$3,981.07	$10,471.29	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $676.08	Professional		$120.23	$239.88	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $426.58	Professional		$162.18	$223.87	$426.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,981.07 / $12,022.64	Facility		$66.07	$3,981.07	$12,022.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $407.38	Professional		$151.36	$213.80	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Facility		$2,137.96	$2,137.96	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $346.74	Professional		$134.90	$165.96	$346.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $204.17	Professional		$125.89	$134.90	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $275.42	Professional		$114.82	$144.54	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $42,657.95 / $42,657.95	Facility		$9,549.93	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,148.15	Professional		$1,071.52	$1,148.15	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $275.42	Facility		$128.82	$173.78	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $346.74	Professional		$134.90	$169.82	$346.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $229.09	Professional		$102.33	$141.25	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $354.81	Professional		$112.20	$158.49	$354.81