Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $4,570.88	Professional		$776.25	$1,000.00	$4,570.88
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 $977.24 / $1,318.26 / $2,754.23	Professional		$977.24	$1,318.26	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,630.78 / $9,549.93	Facility		$66.07	$3,630.78	$9,549.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,344.23	Professional		$831.76	$1,202.26	$2,344.23
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 $831.76 / $1,047.13 / $2,238.72	Professional		$831.76	$1,047.13	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,174.90	Professional		$676.08	$870.96	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,698.24	Professional		$724.44	$954.99	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $28,840.32 / $28,840.32	Facility		$16,595.87	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,079.46 / $7,079.46	Professional		$6,025.60	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,698.24	Facility		$851.14	$1,096.48	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,187.76	Professional		$776.25	$1,047.13	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,445.44	Professional		$707.95	$977.24	$1,445.44
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 $660.69 / $912.01 / $2,398.83	Professional		$660.69	$912.01	$2,398.83