Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $5,623.41	Professional		$707.95	$891.25	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,754.23	Professional		$707.95	$1,000.00	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $10,964.78	Facility		$66.07	$3,388.44	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $2,238.72	Professional		$707.95	$954.99	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $2,238.72	Professional		$741.31	$1,023.29	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,202.26	Professional		$630.96	$977.24	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,949.84	Professional		$776.25	$1,047.13	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $33,884.42 / $33,884.42	Facility		$7,244.36	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,762.47 / $7,762.47	Professional		$6,456.54	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,412.54	Facility		$758.58	$1,023.29	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $2,238.72	Professional		$741.31	$1,023.29	$2,238.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,348.96	Professional		$794.33	$954.99	$1,348.96
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 $660.69 / $891.25 / $1,862.09	Professional		$660.69	$891.25	$1,862.09