Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $3,981.07	Professional		$645.65	$776.25	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $12,022.64	Facility		$2,570.40	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,187.76	Professional		$812.83	$1,122.02	$2,187.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $7,079.46	Facility		$66.07	$2,754.23	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,041.74	Professional		$741.31	$1,071.52	$2,041.74
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 $691.83 / $912.01 / $1,862.09	Professional		$691.83	$912.01	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $794.33 / $1,071.52	Professional		$389.05	$794.33	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,548.82	Professional		$630.96	$851.14	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $19,498.45	Facility		$8,912.51	$8,912.51	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,309.57 / $6,309.57	Professional		$5,248.07	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $1,445.44	Facility		$676.08	$891.25	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,862.09	Professional		$691.83	$912.01	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $870.96	Professional		$489.78	$660.69	$870.96
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 $562.34 / $741.31 / $1,548.82	Professional		$562.34	$741.31	$1,548.82