Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,943.28 / $19,054.61	Facility		$3,311.31	$7,943.28	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $2,818.38	Professional		$676.08	$912.01	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,290.87	Professional		$851.14	$1,230.27	$2,290.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,265.80 / $11,748.98	Facility		$66.07	$4,265.80	$11,748.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,089.30	Professional		$758.58	$1,096.48	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $9,332.54 / $9,332.54	Facility		$8,511.38	$9,332.54	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,949.84	Professional		$724.44	$954.99	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,122.02	Professional		$616.60	$831.76	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,621.81	Professional		$676.08	$891.25	$1,621.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $45,708.82	Facility		$26,915.35	$26,915.35	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $6,606.93	Professional		$6,456.54	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,698.24	Facility		$741.31	$977.24	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,949.84	Professional		$707.95	$954.99	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,318.26	Professional		$676.08	$933.25	$1,318.26
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 $588.84 / $776.25 / $1,621.81	Professional		$588.84	$776.25	$1,621.81