Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $4,466.84 / $15,848.93	Facility		$501.19	$4,466.84	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $524.81	Professional		$72.44	$147.91	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $380.19	Professional		$125.89	$190.55	$380.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $177.83 / $1,778.28	Facility		$66.07	$177.83	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $446.68	Professional		$141.25	$218.78	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $275.42	Professional		$81.28	$158.49	$275.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $245.47	Professional		$74.13	$100.00	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $169.82 / $331.13	Professional		$67.61	$169.82	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $204.17	Professional		$123.03	$123.03	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $158.49 / $269.15	Facility		$72.44	$158.49	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $275.42	Professional		$81.28	$158.49	$275.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $457.09	Professional		$239.88	$239.88	$457.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $199.53	Professional		$69.18	$128.82	$199.53
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 $66.07 / $131.83 / $263.03	Professional		$66.07	$131.83	$263.03