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 $630.96 / $794.33 / $3,981.07	Professional		$630.96	$794.33	$3,981.07
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 $831.76 / $1,202.26 / $2,238.72	Professional		$831.76	$1,202.26	$2,238.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $10,964.78	Facility		$66.07	$4,168.69	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,511.89	Professional		$977.24	$1,380.38	$2,511.89
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 $724.44 / $1,000.00 / $1,905.46	Professional		$724.44	$1,000.00	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $870.96 / $1,258.93	Professional		$794.33	$870.96	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,548.82	Professional		$645.65	$851.14	$1,548.82
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 $6,165.95 / $6,309.57 / $6,309.57	Professional		$6,165.95	$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 $707.95 / $933.25 / $1,479.11	Facility		$707.95	$933.25	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,905.46	Professional		$707.95	$1,023.29	$1,905.46
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 $707.95 / $1,148.15 / $1,778.28	Professional		$707.95	$1,148.15	$1,778.28
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 $562.34 / $794.33 / $1,548.82	Professional		$562.34	$794.33	$1,548.82