Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $67.61 / $501.19	Facility		$45.71	$67.61	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $245.47	Professional		$43.65	$70.79	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $302.00	Facility		$52.48	$67.61	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $194.98	Professional		$60.26	$93.33	$194.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $100.00 / $1,778.28	Facility		$52.48	$100.00	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $181.97	Professional		$53.70	$87.10	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $60.26	Facility		$51.29	$51.29	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $162.18	Professional		$51.29	$79.43	$162.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $104.71	Professional		$38.02	$45.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $131.83	Professional		$40.74	$75.86	$131.83
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 $549.54 / $645.65 / $645.65	Professional		$549.54	$645.65	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $109.65	Professional		$66.07	$66.07	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $79.43 / $131.83	Facility		$47.86	$79.43	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $162.18	Professional		$51.29	$81.28	$162.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $229.09	Professional		$154.88	$154.88	$229.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $77.62	Professional		$35.48	$48.98	$77.62
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 $41.69 / $69.18 / $158.49	Professional		$41.69	$69.18	$158.49