Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $49.16 / $329.58	Facility		$30.49	$49.16	$329.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $46.55 / $167.13	Professional		$29.15	$46.55	$167.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $47.74 / $110.63	Professional		$28.37	$47.74	$110.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $100.00 / $1,581.82	Facility		$62.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $59.16 / $110.61	Professional		$37.49	$59.16	$110.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Facility		$56.00	$56.00	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.01 / $57.86 / $111.15	Professional		$35.01	$57.86	$111.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $33.84 / $81.92	Professional		$10.80	$33.84	$81.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $57.36 / $106.21	Professional		$30.84	$57.36	$106.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $140.77 / $150.72	Facility		$55.00	$140.77	$150.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.00 / $1,687.42 / $1,687.42	Professional		$1,641.00	$1,687.42	$1,687.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.46 / $60.51 / $97.18	Facility		$36.46	$60.51	$97.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $61.84 / $132.10	Professional		$36.21	$61.84	$132.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $103.69 / $103.69 / $175.81	Professional		$103.69	$103.69	$175.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $30.74 / $75.86	Professional		$15.12	$30.74	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,551.00 / $6,323.00	Facility		$587.00	$1,551.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $55.37 / $121.90	Professional		$41.72	$55.37	$121.90