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 $138.04 / $302.00 / $870.96	Professional		$138.04	$302.00	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $501.19	Professional		$162.18	$239.88	$501.19
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 $162.18 / $316.23 / $616.60	Professional		$162.18	$316.23	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $331.13 / $630.96	Professional		$169.82	$331.13	$630.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $549.54	Professional		$128.82	$181.97	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $316.23 / $575.44	Professional		$134.90	$316.23	$575.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,513.56	Facility		$1,288.25	$1,288.25	$1,513.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,511.89 / $2,511.89	Professional		$2,344.23	$2,511.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $323.59 / $616.60	Facility		$154.88	$323.59	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $338.84 / $660.69	Professional		$169.82	$338.84	$660.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,122.02	Professional		$524.81	$524.81	$1,122.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $371.54	Professional		$128.82	$208.93	$371.54
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 $147.91 / $288.40 / $575.44	Professional		$147.91	$288.40	$575.44