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 $758.58 / $954.99 / $4,786.30	Professional		$758.58	$954.99	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,454.71	Professional		$812.83	$1,174.90	$2,454.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,570.40 / $8,317.64	Facility		$66.07	$2,570.40	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,187.76	Professional		$741.31	$1,071.52	$2,187.76
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 $776.25 / $1,047.13 / $2,187.76	Professional		$776.25	$1,047.13	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,288.25	Professional		$812.83	$977.24	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,819.70	Professional		$776.25	$1,023.29	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $8,912.51	Facility		$1,995.26	$1,995.26	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,413.10 / $7,413.10	Professional		$6,760.83	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,698.24	Facility		$831.76	$1,071.52	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,238.72	Professional		$758.58	$1,071.52	$2,238.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,737.80	Professional		$812.83	$1,148.15	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,862.09	Professional		$660.69	$870.96	$1,862.09