Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $10,000.00 / $21,379.62	Facility		$1,174.90	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $281.84	Professional		$57.54	$109.65	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $213.80	Professional		$66.07	$97.72	$213.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $891.25 / $7,762.47	Facility		$66.07	$891.25	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $245.47	Professional		$69.18	$120.23	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $114.82	Facility		$97.72	$97.72	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $257.04	Professional		$64.57	$117.49	$257.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $64.57 / $158.49	Professional		$31.62	$64.57	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $208.93	Professional		$57.54	$120.23	$208.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,905.46	Facility		$54.95	$56.23	$1,905.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $933.25	Professional		$851.14	$933.25	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $154.88	Professional		$91.20	$91.20	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $107.15 / $194.98	Facility		$58.88	$107.15	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $281.84	Professional		$64.57	$120.23	$281.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $371.54	Professional		$190.55	$190.55	$371.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $123.03	Professional		$33.11	$52.48	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $6,456.54	Facility		$588.84	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $234.42	Professional		$51.29	$97.72	$234.42