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 / $23,988.33	Facility		$3,715.35	$10,471.29	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,778.28 / $3,890.45	Professional		$398.11	$1,778.28	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $3,548.13 / $7,762.47	Professional		$645.65	$3,548.13	$7,762.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,715.35 / $26,302.68	Facility		$66.07	$3,715.35	$26,302.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,698.24 / $5,128.61	Professional		$436.52	$1,698.24	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $9,772.37	Facility		$8,128.31	$8,128.31	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,479.11 / $5,011.87	Professional		$446.68	$1,479.11	$5,011.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $2,089.30 / $3,890.45	Professional		$407.38	$2,089.30	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,659.59 / $4,168.69	Professional		$380.19	$1,659.59	$4,168.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $37,153.52	Facility		$54.95	$56.23	$37,153.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $18,197.01 / $18,197.01	Professional		$15,488.17	$18,197.01	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,019.95	Professional		$1,819.70	$1,819.70	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,187.76 / $3,981.07	Facility		$457.09	$2,187.76	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,318.26 / $5,011.87	Professional		$446.68	$1,318.26	$5,011.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $8,128.31	Professional		$1,445.44	$1,445.44	$8,128.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $2,511.89 / $3,548.13	Professional		$371.54	$2,511.89	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $39,810.72	Facility		$9,549.93	$17,782.79	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,862.09 / $4,786.30	Professional		$416.87	$1,862.09	$4,786.30