Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,595.87	Facility		$1,659.59	$6,025.60	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $831.76	Professional		$104.71	$173.78	$831.76
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 $109.65 / $181.97 / $446.68	Professional		$109.65	$181.97	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,000.00 / $5,754.40	Facility		$66.07	$1,000.00	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $363.08	Professional		$100.00	$169.82	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $371.54	Professional		$114.82	$186.21	$371.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $141.25 / $295.12	Professional		$69.18	$141.25	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $389.05	Professional		$112.20	$213.80	$389.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $13,489.63 / $13,489.63	Facility		$2,187.76	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,659.59	Professional		$1,412.54	$1,659.59	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $275.42	Professional		$165.96	$165.96	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $295.12	Facility		$104.71	$169.82	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $380.19	Professional		$114.82	$186.21	$380.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $660.69	Professional		$398.11	$398.11	$660.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $218.78	Professional		$72.44	$114.82	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $7,943.28	Facility		$1,479.11	$2,951.21	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $323.59	Professional		$97.72	$158.49	$323.59