Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $16,595.87	Facility		$1,659.59	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $588.84	Professional		$93.33	$162.18	$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 $144.54 / $245.47 / $478.63	Professional		$144.54	$245.47	$478.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,318.26 / $5,623.41	Facility		$66.07	$1,318.26	$5,623.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $363.08	Professional		$107.15	$190.55	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $323.59	Professional		$109.65	$177.83	$323.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $275.42	Professional		$97.72	$147.91	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $316.23	Professional		$89.13	$169.82	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,630.27	Facility		$54.95	$56.23	$2,630.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,318.26	Professional		$1,148.15	$1,318.26	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $263.03	Professional		$138.04	$229.09	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $169.82 / $281.84	Facility		$102.33	$169.82	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $338.84	Professional		$109.65	$186.21	$338.84
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $537.03	Professional		$323.59	$323.59	$537.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $251.19	Professional		$89.13	$177.83	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $7,585.78	Facility		$1,479.11	$2,754.23	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $295.12	Professional		$87.10	$147.91	$295.12