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 $208.93 / $257.04 / $933.25	Professional		$208.93	$257.04	$933.25
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 $234.42 / $316.23 / $562.34	Professional		$234.42	$316.23	$562.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $630.96	Professional		$234.42	$338.84	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $562.34	Professional		$223.87	$295.12	$562.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $295.12	Professional		$218.78	$239.88	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $478.63	Professional		$186.21	$229.09	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,445.44	Facility		$54.95	$56.23	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $1,995.26	Professional		$1,659.59	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $288.40 / $489.78	Facility		$213.80	$288.40	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $588.84	Professional		$223.87	$295.12	$588.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $467.74	Professional		$186.21	$251.19	$467.74