Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,754.40 / $16,595.87	Facility		$954.99	$5,754.40	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $125.89 / $338.84	Professional		$56.23	$125.89	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $309.03	Professional		$67.61	$134.90	$309.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,290.87 / $6,606.93	Facility		$66.07	$2,290.87	$6,606.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $288.40	Professional		$70.79	$138.04	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $138.04	Facility		$117.49	$117.49	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $263.03	Professional		$66.07	$131.83	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $204.17	Professional		$63.10	$79.43	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $134.90 / $245.47	Professional		$58.88	$134.90	$245.47
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 $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $177.83	Professional		$104.71	$104.71	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $125.89 / $229.09	Facility		$67.61	$125.89	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $275.42	Professional		$66.07	$131.83	$275.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $426.58	Professional		$199.53	$199.53	$426.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $144.54	Professional		$58.88	$104.71	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $257.04	Professional		$53.70	$112.20	$257.04