Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $199.53 / $426.58	Facility		$81.28	$199.53	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $251.19	Professional		$33.11	$42.66	$251.19
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 $44.67 / $67.61 / $138.04	Professional		$44.67	$67.61	$138.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $537.03 / $1,230.27	Facility		$97.72	$537.03	$1,230.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $141.25	Professional		$51.29	$66.07	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,445.44 / $3,890.45	Facility		$204.17	$1,445.44	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $123.03	Professional		$38.02	$54.95	$123.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $60.26	Professional		$36.31	$54.95	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $93.33	Professional		$41.69	$53.70	$93.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $338.84	Professional		$257.04	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $2,041.74	Facility		$42.66	$75.86	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $120.23	Professional		$38.02	$56.23	$120.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $61.66	Professional		$36.31	$50.12	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $660.69 / $1,000.00	Facility		$630.96	$660.69	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $114.82	Professional		$34.67	$46.77	$114.82