Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,982.44	Facility		$2,398.83	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $933.25	Professional		$158.49	$204.17	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $575.44	Professional		$245.47	$316.23	$575.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $7,943.28	Facility		$64.57	$100.00	$7,943.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $524.81	Professional		$194.98	$275.42	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $436.52	Professional		$165.96	$223.87	$436.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $208.93	Professional		$81.28	$120.23	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $380.19	Professional		$141.25	$186.21	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $28,840.32	Facility		$1,995.26	$1,995.26	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,513.56	Professional		$1,288.25	$1,513.56	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $208.93 / $338.84	Facility		$162.18	$208.93	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $446.68	Professional		$162.18	$229.09	$446.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $173.78	Professional		$83.18	$120.23	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $389.05	Professional		$131.83	$190.55	$389.05