Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $3,162.28	Professional		$501.19	$616.60	$3,162.28
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 $588.84 / $831.76 / $1,621.81	Professional		$588.84	$831.76	$1,621.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $8,511.38	Facility		$66.07	$3,548.13	$8,511.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,584.89	Professional		$562.34	$812.83	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,479.11	Professional		$549.54	$724.44	$1,479.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $645.65 / $870.96	Professional		$269.15	$645.65	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,258.93	Professional		$524.81	$691.83	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $28,840.32	Facility		$8,912.51	$8,912.51	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,011.87 / $5,011.87	Professional		$4,365.16	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $1,122.02	Facility		$562.34	$741.31	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,479.11	Professional		$549.54	$741.31	$1,479.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $602.56	Professional		$338.84	$467.74	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,230.27	Professional		$446.68	$588.84	$1,230.27