Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,413.10 / $18,197.01	Facility		$2,818.38	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $1,348.96	Professional		$199.53	$323.59	$1,348.96
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 $229.09 / $346.74 / $724.44	Professional		$229.09	$346.74	$724.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,398.83 / $7,762.47	Facility		$66.07	$2,398.83	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $912.01	Professional		$245.47	$398.11	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $1,047.13	Facility		$316.23	$426.58	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $724.44	Professional		$218.78	$346.74	$724.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $489.78	Professional		$208.93	$309.03	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $616.60	Professional		$190.55	$331.13	$616.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,380.38	Facility		$54.95	$56.23	$1,380.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,311.31	Professional		$2,511.89	$2,511.89	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $416.87	Professional		$251.19	$251.19	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $363.08 / $575.44	Facility		$213.80	$363.08	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $724.44	Professional		$218.78	$363.08	$724.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,000.00	Professional		$645.65	$645.65	$1,000.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $446.68	Professional		$194.98	$331.13	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $15,135.61	Facility		$3,801.89	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $537.03	Professional		$177.83	$269.15	$537.03