Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $22,908.68	Facility		$3,715.35	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $354.81	Professional		$66.07	$87.10	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,365.16 / $12,022.64	Facility		$2,187.76	$4,365.16	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $251.19	Professional		$89.13	$123.03	$251.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $234.42	Professional		$75.86	$102.33	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $194.98	Professional		$67.61	$85.11	$194.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $77.62	Professional		$31.62	$39.81	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $138.04	Professional		$53.70	$70.79	$138.04
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 $630.96 / $630.96 / $645.65	Professional		$630.96	$630.96	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $93.33 / $144.54	Facility		$69.18	$93.33	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $186.21	Professional		$67.61	$85.11	$186.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,456.54 / $20,417.38	Facility		$2,041.74	$6,456.54	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $181.97	Professional		$57.54	$81.28	$181.97