Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $8,912.51 / $17,378.01	Facility		$288.40	$8,912.51	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $891.25	Professional		$177.83	$251.19	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $851.14	Professional		$302.00	$512.86	$851.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $89.13	Facility		$79.43	$79.43	$89.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $794.33	Professional		$281.84	$398.11	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $20,892.96 / $25,703.96	Facility		$181.97	$20,892.96	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $676.08	Professional		$223.87	$346.74	$676.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $389.05	Professional		$234.42	$275.42	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $489.78	Professional		$177.83	$208.93	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,548.82	Professional		$1,288.25	$1,548.82	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $269.15	Professional		$93.33	$199.53	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $263.03 / $512.86	Facility		$186.21	$263.03	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $588.84	Professional		$239.88	$363.08	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $562.34	Professional		$204.17	$363.08	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,862.09 / $13,489.63	Facility		$660.69	$1,862.09	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $501.19	Professional		$162.18	$288.40	$501.19