Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $3,388.44 / $11,481.54	Facility		$79.43	$3,388.44	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $446.68	Professional		$75.86	$107.15	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $281.84	Professional		$95.50	$141.25	$281.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,737.80 / $5,754.40	Facility		$66.07	$1,737.80	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $251.19	Professional		$91.20	$128.82	$251.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $104.71	Professional		$69.18	$77.62	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $165.96	Professional		$69.18	$85.11	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,011.87	Facility		$54.95	$56.23	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $169.82	Facility		$79.43	$107.15	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $169.82 / $223.87	Professional		$69.18	$169.82	$223.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $147.91	Professional		$69.18	$95.50	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $234.42	Professional		$66.07	$91.20	$234.42