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 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $602.56	Professional		$95.50	$117.49	$602.56
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 $100.00 / $141.25 / $331.13	Professional		$100.00	$141.25	$331.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $5,888.44	Facility		$64.57	$100.00	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $331.13	Professional		$109.65	$151.36	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $257.04	Professional		$107.15	$134.90	$257.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $165.96	Professional		$100.00	$131.83	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $229.09	Professional		$91.20	$128.82	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $19,498.45 / $19,498.45	Facility		$891.25	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,023.29	Professional		$1,000.00	$1,023.29	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $173.78	Professional		$104.71	$104.71	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $194.98	Facility		$95.50	$131.83	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $263.03	Professional		$107.15	$138.04	$263.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $380.19	Professional		$346.74	$346.74	$380.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $208.93	Professional		$91.20	$141.25	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $234.42	Professional		$89.13	$120.23	$234.42