Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.11 / $145.13 / $988.98	Facility		$95.11	$145.13	$988.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $145.13 / $536.84	Professional		$92.91	$145.13	$536.84
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 $102.65 / $151.44 / $321.01	Professional		$102.65	$151.44	$321.01
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 $105.86 / $151.22 / $292.20	Professional		$105.86	$151.22	$292.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $212.17 / $380.01	Facility		$56.00	$212.17	$380.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $170.04 / $329.09	Professional		$109.00	$170.04	$329.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $151.47 / $249.37	Professional		$119.68	$151.47	$249.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $181.10 / $322.35	Professional		$105.47	$181.10	$322.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $482.12 / $520.16	Facility		$55.00	$482.12	$520.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,203.35 / $1,430.78	Professional		$900.00	$1,203.35	$1,430.78
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 $119.38 / $170.64 / $259.76	Facility		$119.38	$170.64	$259.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $180.05 / $373.46	Professional		$111.16	$180.05	$373.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $333.11 / $333.11 / $519.44	Professional		$333.11	$333.11	$519.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $178.99 / $247.95	Professional		$108.66	$178.99	$247.95
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,323.00	Facility		$548.00	$1,533.00	$6,323.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $159.58 / $358.29	Professional		$121.77	$159.58	$358.29