Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $416.87	Professional		$77.62	$93.33	$416.87
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 $114.82 / $158.49 / $302.00	Professional		$114.82	$158.49	$302.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $316.23	Professional		$104.71	$158.49	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $263.03	Professional		$85.11	$112.20	$263.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $93.33	Professional		$44.67	$66.07	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $162.18	Professional		$69.18	$87.10	$162.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $630.96 / $630.96	Professional		$616.60	$630.96	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $204.17	Facility		$85.11	$123.03	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $263.03	Professional		$85.11	$112.20	$263.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $95.50	Professional		$56.23	$72.44	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $223.87	Professional		$67.61	$95.50	$223.87