Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,715.19 / $23,442.29	Facility		$5,128.61	$10,715.19	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $4,897.79	Professional		$977.24	$1,380.38	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $3,235.94	Professional		$1,174.90	$1,621.81	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $7,244.36 / $19,054.61	Facility		$66.07	$7,244.36	$19,054.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $3,019.95	Professional		$1,096.48	$1,584.89	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,884.03	Professional		$1,047.13	$1,380.38	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,621.81	Professional		$812.83	$1,202.26	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,570.40	Professional		$954.99	$1,288.25	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $9,549.93 / $9,549.93	Professional		$7,943.28	$9,549.93	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,137.96	Facility		$1,071.52	$1,380.38	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,884.03	Professional		$1,023.29	$1,380.38	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,380.38	Professional		$812.83	$1,096.48	$1,380.38
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 $851.14 / $1,148.15 / $2,398.83	Professional		$851.14	$1,148.15	$2,398.83