Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $7,585.78 / $18,197.01	Facility		$3,019.95	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $1,000.00	Professional		$194.98	$234.42	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $707.95	Professional		$269.15	$363.08	$707.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $9,332.54	Facility		$66.07	$3,548.13	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $588.84	Professional		$208.93	$302.00	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $562.34	Professional		$213.80	$281.84	$562.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $281.84	Professional		$186.21	$186.21	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $398.11	Professional		$165.96	$213.80	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,513.56	Professional		$1,380.38	$1,513.56	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $234.42 / $380.19	Facility		$190.55	$234.42	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $524.81	Professional		$213.80	$281.84	$524.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $316.23	Professional		$151.36	$208.93	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $562.34	Professional		$162.18	$245.47	$562.34