Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,888.44 / $16,595.87	Facility		$1,479.11	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $107.15 / $331.13	Professional		$46.77	$107.15	$331.13
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 $60.26 / $95.50 / $213.80	Professional		$60.26	$95.50	$213.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $691.83 / $1,862.09	Facility		$66.07	$691.83	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $223.87	Professional		$50.12	$104.71	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $97.72	Facility		$83.18	$83.18	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $234.42	Professional		$52.48	$114.82	$234.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $93.33 / $158.49	Professional		$45.71	$93.33	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $104.71 / $199.53	Professional		$42.66	$104.71	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $389.05	Facility		$54.95	$56.23	$389.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $870.96	Professional		$741.31	$870.96	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $147.91	Professional		$89.13	$89.13	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $107.15 / $194.98	Facility		$48.98	$107.15	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $120.23 / $269.15	Professional		$52.48	$120.23	$269.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $380.19	Professional		$162.18	$162.18	$380.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $117.49 / $158.49	Professional		$41.69	$117.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,943.28	Facility		$1,412.54	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $229.09	Professional		$43.65	$97.72	$229.09