Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $1,659.59	Professional		$281.84	$380.19	$1,659.59
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 $295.12 / $407.38 / $1,047.13	Professional		$295.12	$407.38	$1,047.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,235.94 / $7,762.47	Facility		$66.07	$3,235.94	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $891.25	Professional		$288.40	$407.38	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $794.33	Professional		$302.00	$416.87	$794.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $562.34	Professional		$275.42	$371.54	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $758.58	Professional		$288.40	$436.52	$758.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $28,840.32 / $28,840.32	Facility		$6,760.83	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $3,235.94	Professional		$2,818.38	$3,235.94	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $549.54	Professional		$331.13	$331.13	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $602.56	Facility		$288.40	$398.11	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $812.83	Professional		$302.00	$416.87	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,288.25	Professional		$1,047.13	$1,047.13	$1,288.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $549.54	Professional		$275.42	$389.05	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $15,135.61	Facility		$4,265.80	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $707.95	Professional		$263.03	$354.81	$707.95