Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,606.93 / $17,782.79	Facility		$2,691.53	$6,606.93	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $1,862.09	Professional		$323.59	$501.19	$1,862.09
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 $380.19 / $549.54 / $1,071.52	Professional		$380.19	$549.54	$1,071.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,715.35 / $8,511.38	Facility		$66.07	$3,715.35	$8,511.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,047.13	Professional		$346.74	$524.81	$1,047.13
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 $363.08 / $537.03 / $954.99	Professional		$363.08	$537.03	$954.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $831.76	Professional		$389.05	$616.60	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $933.25	Professional		$338.84	$524.81	$933.25
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 $3,467.37 / $3,981.07 / $3,981.07	Professional		$3,467.37	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $676.08	Professional		$407.38	$407.38	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $831.76	Facility		$380.19	$537.03	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $1,023.29	Professional		$363.08	$549.54	$1,023.29
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,621.81	Professional		$1,148.15	$1,148.15	$1,621.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $676.08	Professional		$316.23	$436.52	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,549.93	Facility		$2,344.23	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $870.96	Professional		$295.12	$436.52	$870.96