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 $169.82 / $223.87 / $891.25	Professional		$169.82	$223.87	$891.25
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 $229.09 / $316.23 / $616.60	Professional		$229.09	$316.23	$616.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $6,606.93	Facility		$66.07	$2,570.40	$6,606.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $588.84	Professional		$186.21	$281.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Facility		$2,137.96	$2,137.96	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $512.86	Professional		$181.97	$245.47	$512.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $208.93 / $371.54	Professional		$93.33	$208.93	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $446.68	Professional		$169.82	$263.03	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $19,498.45 / $19,498.45	Facility		$9,549.93	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $346.74	Professional		$208.93	$208.93	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $275.42 / $446.68	Facility		$199.53	$275.42	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $524.81	Professional		$181.97	$245.47	$524.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $724.44	Professional		$588.84	$588.84	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $275.42	Professional		$120.23	$165.96	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $537.03	Professional		$147.91	$218.78	$537.03