Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $812.83	Facility		$72.44	$91.20	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $416.87	Professional		$83.18	$120.23	$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 $87.10 / $134.90 / $275.42	Professional		$87.10	$134.90	$275.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $181.97 / $1,778.28	Facility		$66.07	$181.97	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $275.42	Professional		$85.11	$138.04	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $263.03	Professional		$93.33	$134.90	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $208.93	Professional		$102.33	$138.04	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $269.15	Professional		$91.20	$144.54	$269.15
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 $912.01 / $1,096.48 / $1,096.48	Professional		$912.01	$1,096.48	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $177.83	Professional		$107.15	$107.15	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $218.78	Facility		$89.13	$134.90	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $275.42	Professional		$91.20	$138.04	$275.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $263.03	Professional		$93.33	$173.78	$263.03
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 $75.86 / $107.15 / $223.87	Professional		$75.86	$107.15	$223.87