Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $144.13 / $868.31	Facility		$105.76	$144.13	$868.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $133.24 / $475.76	Professional		$104.96	$133.24	$475.76
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 $111.48 / $149.60 / $301.02	Professional		$111.48	$149.60	$301.02
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 $107.58 / $153.68 / $329.74	Professional		$107.58	$153.68	$329.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $134.66 / $241.18	Facility		$56.00	$134.66	$241.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $167.90 / $322.87	Professional		$120.18	$167.90	$322.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $125.34 / $190.88	Professional		$68.50	$125.34	$190.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $162.57 / $299.24	Professional		$112.11	$162.57	$299.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $527.44 / $551.57	Facility		$55.00	$527.44	$551.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $819.92 / $1,070.40 / $1,221.45	Professional		$819.92	$1,070.40	$1,221.45
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 $113.23 / $161.41 / $230.53	Facility		$113.23	$161.41	$230.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $174.46 / $348.44	Professional		$124.30	$174.46	$348.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $369.24 / $369.24 / $471.42	Professional		$369.24	$369.24	$471.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $116.46 / $192.80	Professional		$76.72	$116.46	$192.80
United Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $1,501.00 / $6,920.00	Facility		$526.00	$1,501.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $149.52 / $343.87	Professional		$113.20	$149.52	$343.87