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 $851.14 / $1,202.26 / $5,623.41	Professional		$851.14	$1,202.26	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,570.88 / $12,882.50	Facility		$2,570.40	$4,570.88	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,162.28	Professional		$1,047.13	$1,513.56	$3,162.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $13,182.57	Facility		$66.07	$5,495.41	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,818.38	Professional		$977.24	$1,412.54	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,630.27	Professional		$851.14	$1,174.90	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,412.54	Professional		$741.31	$1,096.48	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,995.26	Professional		$891.25	$1,174.90	$1,995.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $42,657.95 / $42,657.95	Facility		$16,595.87	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,317.64 / $8,317.64	Professional		$7,244.36	$8,317.64	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,187.76	Facility		$954.99	$1,258.93	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,630.27	Professional		$812.83	$1,174.90	$2,630.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,584.89	Professional		$891.25	$1,122.02	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,818.38	Professional		$758.58	$1,071.52	$2,818.38