Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $20,892.96	Facility		$3,981.07	$10,000.00	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $1,584.89	Professional		$245.47	$316.23	$1,584.89
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 $331.13 / $467.74 / $851.14	Professional		$331.13	$467.74	$851.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $12,589.25	Facility		$64.57	$100.00	$12,589.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $794.33	Professional		$309.03	$436.52	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $707.95	Professional		$281.84	$354.81	$707.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $316.23	Professional		$169.82	$251.19	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $676.08	Professional		$213.80	$281.84	$676.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $42,657.95	Facility		$2,454.71	$2,454.71	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $346.74 / $616.60	Facility		$257.04	$346.74	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $707.95	Professional		$275.42	$363.08	$707.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $363.08	Professional		$204.17	$251.19	$363.08
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 $218.78 / $295.12 / $588.84	Professional		$218.78	$295.12	$588.84