Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,162.28 / $15,135.61	Facility		$416.87	$3,162.28	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $478.63	Professional		$79.43	$165.96	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $263.03	Professional		$100.00	$141.25	$263.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $239.88 / $1,778.28	Facility		$66.07	$239.88	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $269.15	Professional		$83.18	$141.25	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $245.47	Professional		$89.13	$134.90	$245.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $165.96	Professional		$85.11	$114.82	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $204.17	Professional		$74.13	$114.82	$204.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,047.13	Professional		$870.96	$870.96	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $147.91	Professional		$89.13	$89.13	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $125.89 / $204.17	Facility		$83.18	$125.89	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $257.04	Professional		$89.13	$141.25	$257.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $338.84	Professional		$263.03	$263.03	$338.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $213.80	Professional		$77.62	$144.54	$213.80
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 $69.18 / $102.33 / $194.98	Professional		$69.18	$102.33	$194.98