Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,471.29 / $22,908.68	Facility		$4,365.16	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $4,073.80	Professional		$812.83	$954.99	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $15,848.93	Facility		$4,570.88	$7,943.28	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,388.44	Professional		$1,318.26	$1,905.46	$3,388.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $1,862.09	Facility		$60.26	$100.00	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,511.89	Professional		$870.96	$1,174.90	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,570.40	Professional		$870.96	$1,071.52	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $977.24	Professional		$616.60	$776.25	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,737.80	Professional		$676.08	$851.14	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,454.40	Facility		$54.95	$56.23	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,918.31 / $6,918.31	Professional		$5,623.41	$6,918.31	$6,918.31
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 $758.58 / $1,000.00 / $1,445.44	Facility		$758.58	$1,000.00	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,454.71	Professional		$870.96	$1,071.52	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
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 $691.83 / $1,047.13 / $2,290.87	Professional		$691.83	$1,047.13	$2,290.87