Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,471.29 / $24,547.09	Facility		$3,981.07	$10,471.29	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $1,023.29	Professional		$173.78	$229.09	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $13,489.63	Facility		$3,548.13	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $676.08	Professional		$269.15	$371.54	$676.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $562.34	Professional		$213.80	$302.00	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $501.19	Professional		$194.98	$245.47	$501.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $257.04	Professional		$190.55	$194.98	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $436.52	Professional		$165.96	$218.78	$436.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,011.87 / $5,011.87	Facility		$3,235.94	$5,011.87	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $251.19 / $457.09	Facility		$190.55	$251.19	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $524.81	Professional		$190.55	$257.04	$524.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $416.87	Professional		$169.82	$275.42	$416.87
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 $158.49 / $218.78 / $416.87	Professional		$158.49	$218.78	$416.87