Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $16,595.87	Facility		$1,659.59	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $562.34	Professional		$85.11	$125.89	$562.34
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $43.65 / $190.55 / $309.03	Professional	52	$43.65	$190.55	$309.03
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 $87.10 / $169.82 / $338.84	Professional		$87.10	$169.82	$338.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $389.05 / $1,778.28	Facility		$66.07	$389.05	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $288.40	Professional		$97.72	$141.25	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $165.96	Facility		$162.18	$162.18	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $288.40	Professional		$107.15	$144.54	$288.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $204.17	Professional		$85.11	$134.90	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $269.15	Professional		$112.20	$154.88	$269.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $691.83	Facility		$54.95	$56.23	$691.83
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	52	$549.54	$549.54	$549.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,148.15	Professional		$933.25	$1,148.15	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $190.55	Professional		$112.20	$112.20	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $245.47	Facility		$112.20	$158.49	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $302.00	Professional		$104.71	$147.91	$302.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $389.05	Professional		$338.84	$338.84	$389.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $154.88	Professional		$85.11	$117.49	$154.88
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 $87.10 / $117.49 / $239.88	Professional		$87.10	$117.49	$239.88