Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,897.79 / $15,848.93	Facility		$524.81	$4,897.79	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $691.83	Professional		$131.83	$177.83	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $407.38	Professional		$138.04	$190.55	$407.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $223.87 / $1,778.28	Facility		$66.07	$223.87	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $380.19	Professional		$134.90	$194.98	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $389.05	Professional		$144.54	$194.98	$389.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $181.97 / $269.15	Professional		$61.66	$181.97	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $354.81	Professional		$151.36	$204.17	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,819.70	Facility		$54.95	$56.23	$1,819.70
Lucent Health Facility/Professional Facility Modifier 54 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	54	$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,445.44	Professional		$1,230.27	$1,445.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $234.42	Professional		$141.25	$141.25	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $316.23	Facility		$144.54	$208.93	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $389.05	Professional		$144.54	$199.53	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $549.54	Professional		$467.74	$467.74	$549.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $204.17	Professional		$64.57	$104.71	$204.17
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 $117.49 / $154.88 / $331.13	Professional		$117.49	$154.88	$331.13