Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $208.93	Professional		$34.67	$43.65	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $112.20	Professional		$42.66	$63.10	$112.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $114.82	Professional		$43.65	$63.10	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $134.90	Professional		$38.02	$52.48	$134.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $263.03 / $331.13	Professional		$40.74	$263.03	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $79.43	Professional		$32.36	$40.74	$79.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,995.26 / $1,995.26	Facility		$56.23	$1,995.26	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,890.45	Professional		$2,187.76	$2,187.76	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $54.95	Professional		$32.36	$33.11	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $309.03	Facility		$37.15	$56.23	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $109.65	Professional		$38.02	$54.95	$109.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $363.08 / $562.34	Professional		$36.31	$363.08	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $138.04	Professional		$32.36	$45.71	$138.04