Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,888.44 / $16,595.87	Facility		$1,445.44	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $128.82 / $416.87	Professional		$72.44	$128.82	$416.87
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 $93.33 / $125.89 / $251.19	Professional		$93.33	$125.89	$251.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $562.34 / $1,778.28	Facility		$66.07	$562.34	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $239.88	Professional		$75.86	$117.49	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $229.09	Professional		$83.18	$123.03	$229.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $190.55	Professional		$63.10	$97.72	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $245.47	Professional		$75.86	$131.83	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $489.78	Facility		$54.95	$56.23	$489.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,000.00	Professional		$851.14	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $165.96	Professional		$100.00	$100.00	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $128.82 / $208.93	Facility		$83.18	$128.82	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $251.19	Professional		$83.18	$128.82	$251.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $354.81	Professional		$251.19	$251.19	$354.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $144.54	Professional		$66.07	$91.20	$144.54
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 / $100.00 / $194.98	Professional		$66.07	$100.00	$194.98