Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,456.54 / $16,982.44	Facility		$2,137.96	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $380.19	Professional		$67.61	$141.25	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $446.68	Professional		$104.71	$194.98	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $309.03	Professional		$83.18	$162.18	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $269.15	Professional		$79.43	$147.91	$269.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $239.88	Professional		$61.66	$83.18	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $147.91 / $288.40	Professional		$57.54	$147.91	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $426.58	Facility		$54.95	$56.23	$426.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $251.19	Facility		$67.61	$141.25	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $288.40	Professional		$81.28	$154.88	$288.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $457.09	Professional		$223.87	$223.87	$457.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $213.80	Professional		$50.12	$69.18	$213.80
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 $61.66 / $120.23 / $245.47	Professional		$61.66	$120.23	$245.47