Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,456.54 / $16,982.44	Facility		$2,187.76	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $131.83	Professional		$22.91	$36.31	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $112.20	Professional		$25.70	$43.65	$112.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $354.81 / $5,754.40	Facility		$66.07	$354.81	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $46.77 / $91.20	Professional		$25.12	$46.77	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $77.62	Professional		$25.70	$40.74	$77.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $48.98	Professional		$21.88	$27.54	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $63.10	Professional		$21.38	$34.67	$63.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,995.26	Facility		$54.95	$56.23	$1,995.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $45.71	Professional		$27.54	$27.54	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.90 / $63.10	Facility		$25.12	$38.90	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $79.43	Professional		$25.70	$43.65	$79.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $104.71	Professional		$81.28	$81.28	$104.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $45.71	Professional		$21.38	$33.11	$45.71
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 $21.38 / $31.62 / $63.10	Professional		$21.38	$31.62	$63.10