Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $426.58	Professional		$117.49	$158.49	$426.58
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 $141.25 / $218.78 / $467.74	Professional		$141.25	$218.78	$467.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,148.15 / $5,754.40	Facility		$66.07	$1,148.15	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $446.68	Professional		$131.83	$194.98	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $549.54	Facility		$128.82	$177.83	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $426.58	Professional		$128.82	$190.55	$426.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $263.03	Professional		$131.83	$162.18	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $316.23	Professional		$114.82	$173.78	$316.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $13,489.63 / $13,489.63	Facility		$2,951.21	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,290.87	Professional		$1,348.96	$1,348.96	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $229.09	Professional		$138.04	$138.04	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $208.93 / $331.13	Facility		$134.90	$208.93	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $436.52	Professional		$131.83	$194.98	$436.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $537.03	Professional		$436.52	$436.52	$537.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $269.15	Professional		$117.49	$186.21	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $9,549.93	Facility		$2,187.76	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $302.00	Professional		$109.65	$147.91	$302.00