Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $10,000.00 / $22,908.68	Facility		$1,174.90	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $251.19	Professional		$41.69	$77.62	$251.19
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 / $218.78	Professional		$64.57	$104.71	$218.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $436.52 / $1,778.28	Facility		$66.07	$436.52	$1,778.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $194.98	Professional		$54.95	$97.72	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $67.61	Facility		$57.54	$57.54	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $173.78	Professional		$52.48	$87.10	$173.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $123.03	Professional		$43.65	$66.07	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $154.88	Professional		$41.69	$87.10	$154.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $1,288.25	Facility		$54.95	$56.23	$1,288.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $691.83	Professional		$588.84	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $89.13 / $141.25	Facility		$50.12	$89.13	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $186.21	Professional		$52.48	$87.10	$186.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $257.04	Professional		$154.88	$154.88	$257.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $83.18 / $107.15	Professional		$39.81	$83.18	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,548.82 / $6,456.54	Facility		$588.84	$1,548.82	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $177.83	Professional		$41.69	$72.44	$177.83