Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,606.93 / $17,782.79	Facility		$1,698.24	$6,606.93	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $537.03	Professional		$125.89	$151.36	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $537.03	Facility		$169.82	$213.80	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $446.68	Professional		$165.96	$213.80	$446.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $371.54	Professional		$131.83	$186.21	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $371.54	Professional		$144.54	$181.97	$371.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $165.96	Professional		$112.20	$131.83	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $354.81	Professional		$112.20	$151.36	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $891.25	Facility		$54.95	$56.23	$891.25
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,905.46	Professional		$1,258.93	$1,258.93	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $288.40	Facility		$131.83	$165.96	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $371.54	Professional		$141.25	$186.21	$371.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $190.55	Professional		$107.15	$144.54	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $309.03	Professional		$114.82	$151.36	$309.03