Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $10,000.00 / $22,908.68	Facility		$1,174.90	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $380.19	Professional		$63.10	$93.33	$380.19
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 $64.57 / $97.72 / $199.53	Professional		$64.57	$97.72	$199.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $190.55 / $1,778.28	Facility		$66.07	$190.55	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $204.17	Professional		$60.26	$104.71	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $194.98	Professional		$67.61	$102.33	$194.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $181.97	Professional		$79.43	$120.23	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $223.87	Professional		$69.18	$120.23	$223.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $891.25	Professional		$741.31	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $144.54	Professional		$85.11	$85.11	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $107.15 / $177.83	Facility		$67.61	$107.15	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $204.17	Professional		$67.61	$104.71	$204.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $323.59	Professional		$223.87	$223.87	$323.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $229.09	Professional		$72.44	$151.36	$229.09
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 $56.23 / $83.18 / $173.78	Professional		$56.23	$83.18	$173.78