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 $436.52 / $537.03 / $2,137.96	Professional		$436.52	$537.03	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,698.24	Professional		$660.69	$933.25	$1,698.24
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 $407.38 / $588.84 / $1,348.96	Professional		$407.38	$588.84	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,202.26	Professional		$446.68	$549.54	$1,202.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $407.38 / $512.86	Professional		$398.11	$407.38	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $870.96	Professional		$346.74	$457.09	$870.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $2,691.53	Facility		$54.95	$56.23	$2,691.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $562.34 / $812.83	Facility		$436.52	$562.34	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $1,202.26	Professional		$436.52	$549.54	$1,202.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $691.83	Professional		$316.23	$436.52	$691.83
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 $380.19 / $537.03 / $1,148.15	Professional		$380.19	$537.03	$1,148.15