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 $501.19 / $602.56 / $2,511.89	Professional		$501.19	$602.56	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,089.30	Professional		$812.83	$1,174.90	$2,089.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $1,862.09	Facility		$61.66	$100.00	$1,862.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,698.24	Professional		$588.84	$794.33	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,659.59	Professional		$537.03	$660.69	$1,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $602.56	Professional		$380.19	$489.78	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,071.52	Professional		$426.58	$537.03	$1,071.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $4,265.80	Professional		$3,548.13	$4,265.80	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $891.25	Facility		$478.63	$630.96	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,513.56	Professional		$537.03	$660.69	$1,513.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
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 $436.52 / $660.69 / $1,412.54	Professional		$436.52	$660.69	$1,412.54