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 $58.88 / $147.91 / $436.52	Professional		$58.88	$147.91	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $309.03	Professional		$70.79	$125.89	$309.03
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 $66.07 / $141.25 / $295.12	Professional		$66.07	$141.25	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $144.54 / $302.00	Professional		$66.07	$144.54	$302.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $208.93 / $269.15	Professional		$56.23	$208.93	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $125.89 / $263.03	Professional		$51.29	$125.89	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,288.25 / $1,288.25	Facility		$56.23	$1,288.25	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,090.30	Professional		$1,905.46	$1,905.46	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $151.36 / $316.23	Facility		$61.66	$151.36	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $147.91 / $323.59	Professional		$66.07	$147.91	$323.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $512.86	Professional		$208.93	$208.93	$512.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $275.42 / $416.87	Professional		$51.29	$275.42	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,760.83	Facility		$588.84	$1,584.89	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $128.82 / $288.40	Professional		$58.88	$128.82	$288.40