Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $16,982.44	Facility		$1,659.59	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $275.42 / $1,122.02	Professional		$85.11	$275.42	$1,122.02
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 $131.83 / $426.58 / $912.01	Professional		$131.83	$426.58	$912.01
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 $89.13 / $281.84 / $602.56	Professional		$89.13	$281.84	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $275.42 / $616.60	Professional		$91.20	$275.42	$616.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $245.47 / $371.54	Professional		$79.43	$245.47	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $213.80 / $436.52	Professional		$75.86	$213.80	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $758.58	Facility		$54.95	$56.23	$758.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,089.30	Professional		$1,737.80	$2,089.30	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $346.74	Professional		$208.93	$208.93	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $229.09 / $446.68	Facility		$91.20	$229.09	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $281.84 / $616.60	Professional		$91.20	$281.84	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $954.99	Professional		$281.84	$281.84	$954.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $263.03 / $416.87	Professional		$72.44	$263.03	$416.87
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 $85.11 / $239.88 / $575.44	Professional		$85.11	$239.88	$575.44