Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,471.29 / $22,908.68	Facility		$3,715.35	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $2,041.74	Professional		$380.19	$512.86	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,513.56	Professional		$562.34	$794.33	$1,513.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,348.96	Professional		$398.11	$575.44	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $1,148.15	Professional		$416.87	$512.86	$1,148.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $501.19	Professional		$354.81	$389.05	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $831.76	Professional		$338.84	$436.52	$831.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,511.89	Facility		$54.95	$56.23	$2,511.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $512.86 / $776.25	Facility		$389.05	$512.86	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $1,148.15	Professional		$407.38	$512.86	$1,148.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $758.58	Professional		$346.74	$501.19	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,071.52	Professional		$346.74	$489.78	$1,071.52