Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,025.60 / $16,595.87	Facility		$1,584.89	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $416.87	Professional		$46.77	$79.43	$416.87
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 $48.98 / $83.18 / $190.55	Professional		$48.98	$83.18	$190.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $275.42 / $2,089.30	Facility		$64.57	$275.42	$2,089.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $194.98	Professional		$57.54	$93.33	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $165.96	Professional		$57.54	$89.13	$165.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $144.54	Professional		$45.71	$61.66	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $104.71 / $194.98	Professional		$46.77	$104.71	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $346.74	Facility		$54.95	$56.23	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $134.90	Professional		$79.43	$79.43	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $79.43 / $151.36	Facility		$47.86	$79.43	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $173.78	Professional		$57.54	$89.13	$173.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $302.00	Professional		$181.97	$181.97	$302.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $109.65	Professional		$45.71	$74.13	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $154.88	Professional		$48.98	$77.62	$154.88