Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $4,073.80	Professional		$645.65	$794.33	$4,073.80
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 $831.76 / $1,096.48 / $2,137.96	Professional		$831.76	$1,096.48	$2,137.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,995.26	Professional		$707.95	$1,023.29	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,905.46	Professional		$707.95	$933.25	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $851.14 / $1,148.15	Professional		$426.58	$851.14	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,659.59	Professional		$676.08	$891.25	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,165.95	Facility		$54.95	$56.23	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $6,606.93	Professional		$5,623.41	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $954.99 / $1,445.44	Facility		$741.31	$954.99	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,905.46	Professional		$707.95	$954.99	$1,905.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $933.25	Professional		$537.03	$724.44	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,584.89	Professional		$575.44	$758.58	$1,584.89