Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,623.41 / $16,595.87	Facility		$1,071.52	$5,623.41	$16,595.87
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	54	$870.96	$870.96	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $407.38	Professional		$104.71	$147.91	$407.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $112.20 / $204.17 / $316.23	Professional	54	$112.20	$204.17	$316.23
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 $114.82 / $154.88 / $346.74	Professional		$114.82	$154.88	$346.74
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 $107.15 / $151.36 / $295.12	Professional		$107.15	$151.36	$295.12
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 $114.82 / $154.88 / $288.40	Professional		$114.82	$154.88	$288.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $165.96 / $213.80	Professional		$52.48	$165.96	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $269.15	Professional		$125.89	$165.96	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,187.76	Facility		$54.95	$56.23	$2,187.76
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	54	$524.81	$524.81	$524.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,071.52	Professional		$912.01	$1,071.52	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $173.78	Professional		$104.71	$104.71	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $245.47	Facility		$114.82	$165.96	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $316.23	Professional		$114.82	$158.49	$316.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $407.38	Professional		$398.11	$398.11	$407.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $154.88	Professional		$52.48	$79.43	$154.88
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 $93.33 / $123.03 / $257.04	Professional		$93.33	$123.03	$257.04