Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $194.98 / $851.14	Facility		$30.90	$194.98	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $199.53	Professional		$30.90	$61.66	$199.53
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 $36.31 / $58.88 / $120.23	Professional		$36.31	$58.88	$120.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $177.83 / $1,778.28	Facility		$66.07	$177.83	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $66.07 / $128.82	Professional		$36.31	$66.07	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $64.57 / $123.03	Professional		$35.48	$64.57	$123.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $107.15	Professional		$22.91	$37.15	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $69.18 / $134.90	Professional		$30.20	$69.18	$134.90
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 $478.63 / $562.34 / $562.34	Professional		$478.63	$562.34	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $91.20	Professional		$54.95	$54.95	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $60.26 / $109.65	Facility		$33.88	$60.26	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $141.25	Professional		$36.31	$67.61	$141.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $204.17	Professional		$107.15	$107.15	$204.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $75.86	Professional		$23.44	$32.36	$75.86
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 $28.84 / $52.48 / $104.71	Professional		$28.84	$52.48	$104.71