Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $16,982.44	Facility		$2,398.83	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $602.56	Professional		$102.33	$128.82	$602.56
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 $147.91 / $199.53 / $363.08	Professional		$147.91	$199.53	$363.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $8,128.31	Facility		$64.57	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $338.84	Professional		$123.03	$173.78	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $302.00	Professional		$117.49	$151.36	$302.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $144.54	Professional		$107.15	$114.82	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $245.47	Professional		$91.20	$120.23	$245.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $28,840.32	Facility		$2,238.72	$2,238.72	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $3,019.95	Professional		$977.24	$977.24	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $138.04 / $239.88	Facility		$107.15	$138.04	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $302.00	Professional		$117.49	$151.36	$302.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $245.47	Professional		$97.72	$158.49	$245.47
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 $91.20 / $125.89 / $245.47	Professional		$91.20	$125.89	$245.47