Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $25,703.96	Facility		$3,715.35	$10,000.00	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $933.25	Professional		$165.96	$208.93	$933.25
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 $257.04 / $338.84 / $630.96	Professional		$257.04	$338.84	$630.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $22,908.68	Facility		$64.57	$100.00	$22,908.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $562.34	Professional		$186.21	$263.03	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $12,022.64 / $14,454.40	Facility		$10,471.29	$12,022.64	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $489.78	Professional		$177.83	$213.80	$489.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $331.13	Professional		$151.36	$173.78	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $331.13	Professional		$128.82	$169.82	$331.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $41,686.94	Facility		$54.95	$56.23	$41,686.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $416.87	Facility		$165.96	$239.88	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $489.78	Professional		$173.78	$213.80	$489.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $380.19	Professional		$138.04	$245.47	$380.19
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 $144.54 / $208.93 / $457.09	Professional		$144.54	$208.93	$457.09