Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $10,000.00 / $21,379.62	Facility		$1,230.27	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $512.86	Professional		$83.18	$151.36	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $380.19	Professional		$93.33	$169.82	$380.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $239.88 / $1,778.28	Facility		$66.07	$239.88	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $323.59	Professional		$95.50	$147.91	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $338.84	Professional		$97.72	$158.49	$338.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $263.03	Professional		$54.95	$95.50	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $181.97 / $346.74	Professional		$77.62	$181.97	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,513.56	Professional		$1,288.25	$1,513.56	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $251.19	Professional		$151.36	$151.36	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $144.54 / $269.15	Facility		$81.28	$144.54	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $338.84	Professional		$97.72	$165.96	$338.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $616.60	Professional		$323.59	$323.59	$616.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $194.98	Professional		$57.54	$79.43	$194.98
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 $81.28 / $141.25 / $295.12	Professional		$81.28	$141.25	$295.12