Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,888.44 / $16,595.87	Facility		$1,737.80	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $229.09 / $660.69	Professional		$95.50	$229.09	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $645.65	Professional		$138.04	$263.03	$645.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,202.26 / $5,754.40	Facility		$66.07	$1,202.26	$5,754.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $467.74	Professional		$100.00	$239.88	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $234.42 / $467.74	Professional		$107.15	$234.42	$467.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $489.78	Professional		$104.71	$199.53	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $263.03 / $549.54	Professional		$95.50	$263.03	$549.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,691.53	Facility		$54.95	$56.23	$2,691.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,238.72	Professional		$1,905.46	$2,238.72	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $380.19	Professional		$223.87	$338.84	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $234.42 / $467.74	Facility		$104.71	$234.42	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $239.88 / $537.03	Professional		$107.15	$239.88	$537.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $831.76	Professional		$331.13	$331.13	$831.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $281.84 / $363.08	Professional		$95.50	$281.84	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $7,943.28	Facility		$1,445.44	$2,884.03	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $389.05	Professional		$87.10	$199.53	$389.05