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 $724.44 / $831.76 / $4,365.16	Professional		$724.44	$831.76	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,398.83	Professional		$891.25	$1,174.90	$2,398.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,456.54	Facility		$63.10	$100.00	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,290.87	Professional		$831.76	$1,202.26	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,041.74	Professional		$758.58	$1,000.00	$2,041.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,148.15	Professional		$524.81	$851.14	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,584.89	Professional		$676.08	$891.25	$1,584.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,244.36	Facility		$54.95	$56.23	$7,244.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,621.81	Facility		$776.25	$1,023.29	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $2,041.74	Professional		$741.31	$1,023.29	$2,041.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,122.02	Professional		$660.69	$794.33	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,698.24	Professional		$616.60	$831.76	$1,698.24