Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $489.78	Professional		$104.71	$141.25	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,022.64	Facility		$2,511.89	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $426.58	Professional		$162.18	$213.80	$426.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $363.08	Professional		$128.82	$186.21	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $323.59	Professional		$123.03	$151.36	$323.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $138.04	Professional		$70.79	$104.71	$138.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $251.19	Professional		$102.33	$134.90	$251.19
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 $891.25 / $1,122.02 / $1,122.02	Professional		$891.25	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $251.19	Facility		$120.23	$154.88	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $331.13	Professional		$117.49	$151.36	$331.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $151.36	Professional		$89.13	$107.15	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $346.74	Professional		$104.71	$141.25	$346.74