Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,888.44 / $16,595.87	Facility		$1,445.44	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $354.81 / $1,023.29	Professional		$138.04	$354.81	$1,023.29
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 $144.54 / $229.09 / $794.33	Professional		$144.54	$229.09	$794.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,041.74 / $5,754.40	Facility		$66.07	$2,041.74	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $436.52 / $891.25	Professional		$165.96	$436.52	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $758.58	Professional		$158.49	$371.54	$758.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $616.60	Professional		$114.82	$186.21	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $380.19 / $741.31	Professional		$147.91	$380.19	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $19,498.45	Facility		$3,981.07	$3,981.07	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $2,951.21	Professional		$2,884.03	$2,951.21	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $489.78	Professional		$295.12	$295.12	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $316.23 / $691.83	Facility		$138.04	$316.23	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $380.19 / $794.33	Professional		$158.49	$380.19	$794.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,230.27	Professional		$478.63	$478.63	$1,230.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $416.87	Professional		$120.23	$165.96	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $9,772.37	Facility		$2,238.72	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $295.12 / $616.60	Professional		$125.89	$295.12	$616.60