Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $204.17 / $15,488.17	Facility		$30.90	$204.17	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $89.13 / $208.93	Professional		$32.36	$89.13	$208.93
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 $34.67 / $47.86 / $128.82	Professional		$34.67	$47.86	$128.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $354.81 / $1,778.28	Facility		$66.07	$354.81	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $112.20 / $251.19	Professional		$36.31	$112.20	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $234.42	Professional		$38.90	$107.15	$234.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $154.88	Professional		$29.51	$38.90	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $93.33 / $194.98	Professional		$30.20	$93.33	$194.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $363.08	Facility		$54.95	$56.23	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $128.82	Professional		$75.86	$75.86	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $87.10 / $181.97	Facility		$35.48	$87.10	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $104.71 / $234.42	Professional		$39.81	$104.71	$234.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $316.23	Professional		$114.82	$114.82	$316.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $109.65	Professional		$29.51	$47.86	$109.65
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 $30.90 / $75.86 / $181.97	Professional		$30.90	$75.86	$181.97