Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Facility		$2,290.87	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,096.48 / $3,801.89	Professional		$331.13	$1,096.48	$3,801.89
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 $478.63 / $1,230.27 / $3,019.95	Professional		$478.63	$1,230.27	$3,019.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,698.24 / $7,079.46	Facility		$66.07	$1,698.24	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,000.00 / $2,187.76	Professional		$346.74	$1,000.00	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,466.84	Facility		$3,801.89	$3,801.89	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $912.01 / $2,238.72	Professional		$331.13	$912.01	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $380.19 / $2,187.76	Professional		$138.04	$380.19	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,071.52 / $2,344.23	Professional		$309.03	$1,071.52	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $28,840.32 / $28,840.32	Facility		$16,982.44	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $9,332.54 / $9,332.54	Professional		$7,943.28	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,548.82	Professional		$933.25	$933.25	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $870.96 / $2,041.74	Facility		$354.81	$870.96	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $851.14 / $2,344.23	Professional		$323.59	$851.14	$2,344.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $3,715.35	Professional		$1,023.29	$1,023.29	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $29,512.09	Facility		$7,762.47	$14,125.38	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $870.96 / $2,187.76	Professional		$288.40	$870.96	$2,187.76