Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $4,365.16	Professional		$645.65	$758.58	$4,365.16
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 $630.96 / $912.01 / $2,818.38	Professional		$630.96	$912.01	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,398.83 / $7,079.46	Facility		$66.07	$2,398.83	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,949.84	Professional		$616.60	$812.83	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,949.84	Professional		$660.69	$891.25	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,148.15	Professional		$851.14	$933.25	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,698.24	Professional		$691.83	$912.01	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $45,708.82 / $45,708.82	Facility		$6,760.83	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,760.83 / $6,760.83	Professional		$5,754.40	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,288.25	Facility		$676.08	$912.01	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,905.46	Professional		$645.65	$891.25	$1,905.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,659.59	Professional		$588.84	$776.25	$1,659.59