Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $371.54	Professional		$64.57	$83.18	$371.54
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 $75.86 / $114.82 / $245.47	Professional		$75.86	$114.82	$245.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,630.27 / $7,762.47	Facility		$66.07	$2,630.27	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $204.17	Professional		$70.79	$104.71	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $199.53	Professional		$67.61	$87.10	$199.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $141.25	Professional		$72.44	$93.33	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $144.54	Professional		$63.10	$79.43	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,495.41	Facility		$54.95	$56.23	$5,495.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,348.96	Professional		$1,023.29	$1,023.29	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $91.20 / $229.09	Facility		$60.26	$91.20	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $194.98	Professional		$67.61	$89.13	$194.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $177.83	Professional		$66.07	$123.03	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $194.98	Professional		$56.23	$83.18	$194.98