Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $16,982.44	Facility		$1,737.80	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $1,412.54	Professional		$218.78	$288.40	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,882.50	Facility		$2,570.40	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $794.33	Professional		$338.84	$436.52	$794.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $6,606.93	Facility		$64.57	$100.00	$6,606.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $724.44	Professional		$275.42	$389.05	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $645.65	Professional		$251.19	$323.59	$645.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $302.00	Professional		$223.87	$251.19	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $630.96	Professional		$194.98	$257.04	$630.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $19,498.45	Facility		$2,238.72	$2,238.72	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $309.03 / $512.86	Facility		$234.42	$309.03	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $645.65	Professional		$251.19	$331.13	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $251.19	Professional		$181.97	$204.17	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $524.81	Professional		$194.98	$269.15	$524.81