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 $131.83 / $208.93 / $851.14	Professional		$131.83	$208.93	$851.14
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 $141.25 / $223.87 / $537.03	Professional		$141.25	$223.87	$537.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $660.69 / $5,754.40	Facility		$66.07	$660.69	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $446.68	Professional		$125.89	$204.17	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $446.68	Professional		$144.54	$229.09	$446.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $338.84	Professional		$125.89	$177.83	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $436.52	Professional		$134.90	$245.47	$436.52
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 $1,659.59 / $1,949.84 / $1,949.84	Professional		$1,659.59	$1,949.84	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $323.59	Professional		$190.55	$190.55	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $208.93 / $354.81	Facility		$131.83	$208.93	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $446.68	Professional		$144.54	$229.09	$446.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $758.58	Professional		$489.78	$489.78	$758.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $269.15	Professional		$125.89	$177.83	$269.15
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 $123.03 / $190.55 / $389.05	Professional		$123.03	$190.55	$389.05