Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $691.83	Facility		$69.18	$91.20	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $380.19	Professional		$69.18	$102.33	$380.19
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 $77.62 / $114.82 / $223.87	Professional		$77.62	$114.82	$223.87
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 $77.62 / $120.23 / $239.88	Professional		$77.62	$120.23	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $213.80	Professional		$79.43	$112.20	$213.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $173.78	Professional		$61.66	$81.28	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $223.87	Professional		$66.07	$123.03	$223.87
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 $776.25 / $933.25 / $933.25	Professional		$776.25	$933.25	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $154.88	Professional		$93.33	$93.33	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $186.21	Facility		$72.44	$114.82	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $234.42	Professional		$79.43	$114.82	$234.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $346.74	Professional		$251.19	$251.19	$346.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $131.83	Professional		$61.66	$87.10	$131.83
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 $64.57 / $93.33 / $190.55	Professional		$64.57	$93.33	$190.55