Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,309.57 / $16,982.44	Facility		$2,187.76	$6,309.57	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $724.44	Professional		$125.89	$245.47	$724.44
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 $177.83 / $295.12 / $676.08	Professional		$177.83	$295.12	$676.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $707.95 / $5,754.40	Facility		$66.07	$707.95	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $562.34	Professional		$173.78	$269.15	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $524.81	Professional		$177.83	$275.42	$524.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $389.05	Professional		$181.97	$223.87	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $512.86	Professional		$162.18	$281.84	$512.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $13,489.63	Facility		$1,995.26	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $2,238.72	Professional		$1,949.84	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $380.19	Professional		$223.87	$223.87	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $416.87	Facility		$162.18	$263.03	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $512.86	Professional		$177.83	$281.84	$512.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $891.25	Professional		$602.56	$602.56	$891.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $380.19	Professional		$162.18	$263.03	$380.19
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 $151.36 / $229.09 / $457.09	Professional		$151.36	$229.09	$457.09