Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $5,370.32	Professional		$891.25	$1,122.02	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,090.30	Professional		$1,202.26	$1,659.59	$3,090.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $14,791.08	Facility		$66.07	$5,128.61	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,019.95	Professional		$1,174.90	$1,584.89	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility		$18,620.87	$18,620.87	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,630.27	Professional		$1,023.29	$1,380.38	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,047.13 / $1,412.54	Professional		$575.44	$1,047.13	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,041.74	Professional		$851.14	$1,148.15	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $53,703.18	Facility		$33,884.42	$33,884.42	$53,703.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $8,511.38 / $8,511.38	Professional		$7,762.47	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,041.74	Facility		$977.24	$1,258.93	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,630.27	Professional		$1,023.29	$1,380.38	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,258.93	Professional		$741.31	$954.99	$1,258.93
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 $776.25 / $1,096.48 / $2,137.96	Professional		$776.25	$1,096.48	$2,137.96