Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.29 / $92.73 / $750.74	Facility		$72.29	$92.73	$750.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $95.88 / $490.28	Professional		$72.29	$95.88	$490.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,464.00 / $8,976.00	Facility		$1,723.00	$4,464.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.75 / $116.73 / $238.17	Professional		$81.75	$116.73	$238.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,581.82	Facility		$66.00	$100.00	$1,581.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $123.07 / $239.72	Professional		$84.31	$123.07	$239.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $144.83 / $259.39	Facility		$56.00	$144.83	$259.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $134.00 / $266.39	Professional		$91.11	$134.00	$266.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $138.12 / $207.18	Professional		$109.20	$138.12	$207.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $142.07 / $255.00	Professional		$96.37	$142.07	$255.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $437.60 / $475.00	Facility		$55.00	$437.60	$475.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $680.64 / $916.88 / $1,091.84	Professional		$680.64	$916.88	$1,091.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.73 / $132.19 / $195.18	Facility		$92.73	$132.19	$195.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $141.66 / $294.31	Professional		$93.64	$141.66	$294.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $304.20 / $400.38	Professional		$304.20	$304.20	$400.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $143.65 / $248.62	Professional		$99.14	$143.65	$248.62
United Facility/Professional Facility Modifier Low / Median / High Price $437.82 / $1,493.00 / $5,830.00	Facility		$437.82	$1,493.00	$5,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $119.34 / $265.77	Professional		$92.02	$119.34	$265.77