Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $125.89	Professional		$22.91	$27.54	$125.89
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 $26.92 / $44.67 / $95.50	Professional		$26.92	$44.67	$95.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $67.61 / $131.83	Facility		$26.30	$67.61	$131.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $81.28	Professional		$27.54	$41.69	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $72.44	Professional		$27.54	$34.67	$72.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $36.31	Professional		$25.70	$30.20	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $53.70	Professional		$23.44	$30.90	$53.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $36.31	Professional		$21.38	$21.38	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $35.48 / $56.23	Facility		$27.54	$35.48	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $69.18	Professional		$26.92	$34.67	$69.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
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 $21.38 / $30.20 / $69.18	Professional		$21.38	$30.20	$69.18