Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $16,595.87	Facility		$1,659.59	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $2,454.71	Professional		$489.78	$616.60	$2,454.71
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 $588.84 / $812.83 / $1,548.82	Professional		$588.84	$812.83	$1,548.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $912.01 / $5,888.44	Facility		$66.07	$912.01	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,513.56	Professional		$537.03	$776.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,380.38	Professional		$524.81	$691.83	$1,380.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $707.95 / $1,071.52	Professional		$323.59	$707.95	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,258.93	Professional		$549.54	$724.44	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $19,498.45	Facility		$4,786.30	$4,786.30	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $5,128.61	Professional		$4,265.80	$5,128.61	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $851.14	Professional		$501.19	$501.19	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $741.31 / $1,122.02	Facility		$524.81	$741.31	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,445.44	Professional		$512.86	$707.95	$1,445.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,862.09	Professional		$1,778.28	$1,778.28	$1,862.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $724.44	Professional		$407.38	$575.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,148.15	Professional		$426.58	$562.34	$1,148.15