Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,585.78 / $18,197.01	Facility		$2,884.03	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $1,778.28	Professional		$275.42	$426.58	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $1,202.26	Professional		$331.13	$512.86	$1,202.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,332.54	Facility		$66.07	$3,630.78	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $954.99	Professional		$269.15	$457.09	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,290.87	Facility		$1,949.84	$1,949.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $977.24	Professional		$302.00	$478.63	$977.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $776.25	Professional		$338.84	$426.58	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $954.99	Professional		$346.74	$549.54	$954.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $45,708.82 / $45,708.82	Facility		$8,709.64	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $3,890.45	Professional		$3,388.44	$3,890.45	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $645.65	Professional		$389.05	$389.05	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $831.76	Facility		$338.84	$512.86	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $1,000.00	Professional		$302.00	$489.78	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,513.56	Professional		$1,023.29	$1,023.29	$1,513.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $724.44	Professional		$338.84	$478.63	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $1,047.13	Professional		$263.03	$426.58	$1,047.13