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 $912.01 / $1,122.02 / $5,011.87	Professional		$912.01	$1,122.02	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,884.03	Professional		$1,047.13	$1,445.44	$2,884.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $8,709.64	Facility		$66.07	$2,511.89	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,691.53	Professional		$933.25	$1,348.96	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,570.40	Professional		$912.01	$1,258.93	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,445.44	Professional		$870.96	$1,071.52	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,089.30	Professional		$870.96	$1,148.15	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $45,708.82	Facility		$6,760.83	$6,760.83	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,709.64 / $8,709.64	Professional		$8,511.38	$8,709.64	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,137.96	Facility		$977.24	$1,258.93	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,570.40	Professional		$912.01	$1,288.25	$2,570.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,862.09	Professional		$870.96	$1,202.26	$1,862.09
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 $776.25 / $1,047.13 / $2,089.30	Professional		$776.25	$1,047.13	$2,089.30