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 $128.82 / $181.97 / $724.44	Professional		$128.82	$181.97	$724.44
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 $218.78 / $354.81 / $549.54	Professional		$218.78	$354.81	$549.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,258.93 / $5,754.40	Facility		$66.07	$1,258.93	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $380.19	Professional		$144.54	$208.93	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,023.29 / $2,238.72	Facility		$398.11	$1,023.29	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $407.38	Professional		$147.91	$234.42	$407.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $416.87	Professional		$138.04	$281.84	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $288.40	Professional		$114.82	$141.25	$288.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $19,498.45 / $19,498.45	Facility		$4,897.79	$19,498.45	$19,498.45
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 $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $457.09	Facility		$131.83	$213.80	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $389.05	Professional		$144.54	$239.88	$389.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $389.05 / $602.56	Professional		$125.89	$389.05	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,168.69 / $9,549.93	Facility		$1,778.28	$4,168.69	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $323.59	Professional		$112.20	$181.97	$323.59