Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $275.42 / $537.03	Facility		$48.98	$275.42	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $194.98	Professional		$40.74	$52.48	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,884.03 / $3,311.31	Facility		$1,122.02	$2,884.03	$3,311.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $165.96	Professional		$60.26	$87.10	$165.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $1,862.09	Facility		$63.10	$100.00	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $158.49	Professional		$58.88	$83.18	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $128.82	Professional		$50.12	$61.66	$128.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $97.72	Professional		$44.67	$60.26	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $100.00	Professional		$39.81	$52.48	$100.00
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 $371.54 / $436.52 / $436.52	Professional		$371.54	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $120.23	Facility		$46.77	$64.57	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $128.82	Professional		$50.12	$61.66	$128.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $81.28 / $138.04	Professional		$36.31	$81.28	$138.04
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 $42.66 / $60.26 / $141.25	Professional		$42.66	$60.26	$141.25