Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,585.78 / $19,054.61	Facility		$2,691.53	$7,585.78	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,318.26 / $5,370.32	Professional		$371.54	$1,318.26	$5,370.32
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 $549.54 / $1,819.70 / $4,073.80	Professional		$549.54	$1,819.70	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,344.23 / $12,302.69	Facility		$66.07	$2,344.23	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,258.93 / $2,884.03	Professional		$407.38	$1,258.93	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,096.48 / $2,570.40	Professional		$380.19	$1,096.48	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $2,238.72	Professional		$263.03	$478.63	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,202.26 / $2,511.89	Professional		$363.08	$1,202.26	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $45,708.82 / $45,708.82	Facility		$8,912.51	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,000.00 / $10,000.00	Professional		$8,317.64	$10,000.00	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,659.59	Professional		$1,000.00	$1,000.00	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,318.26 / $2,290.87	Facility		$426.58	$1,318.26	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,047.13 / $2,691.53	Professional		$380.19	$1,047.13	$2,691.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,365.16	Professional		$1,230.27	$1,230.27	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $21,379.62	Facility		$5,370.32	$10,000.00	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,071.52 / $2,570.40	Professional		$346.74	$1,071.52	$2,570.40