Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $4,677.35	Professional		$776.25	$977.24	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,570.40	Professional		$1,000.00	$1,348.96	$2,570.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,888.44 / $15,488.17	Facility		$66.07	$5,888.44	$15,488.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,511.89	Professional		$912.01	$1,288.25	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,187.76	Professional		$851.14	$1,096.48	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,230.27	Professional		$724.44	$912.01	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,778.28	Professional		$741.31	$977.24	$1,778.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $42,657.95	Facility		$28,183.83	$28,183.83	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,413.10 / $7,413.10	Professional		$6,165.95	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,659.59	Facility		$831.76	$1,122.02	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $2,187.76	Professional		$831.76	$1,096.48	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,548.82	Professional		$741.31	$1,023.29	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,819.70	Professional		$660.69	$891.25	$1,819.70