Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $2,818.38	Professional		$446.68	$537.03	$2,818.38
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 $512.86 / $741.31 / $1,445.44	Professional		$512.86	$741.31	$1,445.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,715.19	Facility		$66.07	$3,890.45	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,445.44	Professional		$537.03	$758.58	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,288.25	Professional		$489.78	$630.96	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $776.25	Professional		$295.12	$575.44	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,096.48	Professional		$467.74	$616.60	$1,096.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $45,708.82	Facility		$19,952.62	$19,952.62	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,365.16 / $4,365.16	Professional		$4,168.69	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $660.69 / $1,000.00	Facility		$512.86	$660.69	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,288.25	Professional		$489.78	$660.69	$1,288.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $645.65	Professional		$371.54	$501.19	$645.65
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 $389.05 / $524.81 / $1,096.48	Professional		$389.05	$524.81	$1,096.48