Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,760.83 / $18,197.01	Facility		$2,951.21	$6,760.83	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $331.13	Professional		$83.18	$134.90	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $389.05	Professional		$128.82	$199.53	$389.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,890.45 / $10,471.29	Facility		$66.07	$3,890.45	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $346.74	Professional		$123.03	$177.83	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Facility		$1,778.28	$1,778.28	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $338.84	Professional		$123.03	$158.49	$338.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $173.78	Professional		$75.86	$114.82	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $239.88	Professional		$112.20	$144.54	$239.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,000.00	Professional		$870.96	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $158.49 / $239.88	Facility		$120.23	$158.49	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $331.13	Professional		$123.03	$158.49	$331.13
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $162.18	Professional		$95.50	$123.03	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $15,135.61	Facility		$4,073.80	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $346.74	Professional		$95.50	$131.83	$346.74