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 $53.70 / $93.33 / $281.84	Professional		$53.70	$93.33	$281.84
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 $64.57 / $104.71 / $234.42	Professional		$64.57	$104.71	$234.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $162.18 / $6,165.95	Facility		$66.07	$162.18	$6,165.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $218.78	Professional		$61.66	$109.65	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $204.17	Professional		$58.88	$95.50	$204.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $134.90	Professional		$53.70	$83.18	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $165.96	Professional		$48.98	$95.50	$165.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $13,489.63 / $13,489.63	Facility		$2,951.21	$13,489.63	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $724.44 / $724.44	Professional		$707.95	$724.44	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $120.23	Professional		$72.44	$72.44	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $162.18	Facility		$52.48	$93.33	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $213.80	Professional		$58.88	$95.50	$213.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $269.15	Professional		$173.78	$173.78	$269.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $154.88	Professional		$48.98	$104.71	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $186.21	Professional		$51.29	$83.18	$186.21