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 $47.86 / $125.89 / $363.08	Professional		$47.86	$125.89	$363.08
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 $60.26 / $120.23 / $346.74	Professional		$60.26	$120.23	$346.74
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 $53.70 / $165.96 / $371.54	Professional		$53.70	$165.96	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $120.23 / $288.40	Professional		$52.48	$120.23	$288.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $186.21 / $302.00	Professional		$54.95	$186.21	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $114.82 / $229.09	Professional		$47.86	$114.82	$229.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $4,365.16 / $4,365.16	Facility		$56.23	$4,365.16	$4,365.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,548.13	Professional		$2,041.74	$2,041.74	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $128.82 / $302.00	Facility		$52.48	$128.82	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $123.03 / $295.12	Professional		$51.29	$123.03	$295.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $389.05	Professional		$165.96	$165.96	$389.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $316.23 / $478.63	Professional		$48.98	$316.23	$478.63
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 $47.86 / $104.71 / $263.03	Professional		$47.86	$104.71	$263.03