Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,456.54 / $16,982.44	Facility		$2,089.30	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $162.18	Professional		$33.11	$52.48	$162.18
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 $38.02 / $64.57 / $147.91	Professional		$38.02	$64.57	$147.91
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 $39.81 / $67.61 / $125.89	Professional		$39.81	$67.61	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $107.15	Professional		$37.15	$56.23	$107.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $67.61	Professional		$32.36	$40.74	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $89.13	Professional		$29.51	$48.98	$89.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,951.21	Facility		$54.95	$56.23	$2,951.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $63.10	Professional		$38.02	$38.02	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $54.95 / $89.13	Facility		$34.67	$54.95	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $109.65	Professional		$37.15	$60.26	$109.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $147.91	Professional		$114.82	$114.82	$147.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.12 / $64.57	Professional		$29.51	$50.12	$64.57
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 $30.20 / $45.71 / $87.10	Professional		$30.20	$45.71	$87.10