Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $21,379.62	Facility		$3,981.07	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $3,715.35	Professional		$851.14	$1,047.13	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,089.30	Professional		$831.76	$1,122.02	$2,089.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,370.32 / $13,182.57	Facility		$66.07	$5,370.32	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,630.27	Professional		$1,023.29	$1,445.44	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,467.37 / $7,413.10	Facility		$758.58	$3,467.37	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $2,187.76	Professional		$724.44	$1,148.15	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,380.38	Professional		$630.96	$1,023.29	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,905.46	Professional		$794.33	$1,000.00	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $42,657.95	Facility		$16,595.87	$16,595.87	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,041.74	Facility		$870.96	$1,202.26	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,290.87	Professional		$691.83	$1,174.90	$2,290.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,348.96	Professional		$794.33	$954.99	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $11,748.98 / $25,118.86	Facility		$5,248.07	$11,748.98	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,862.09	Professional		$707.95	$977.24	$1,862.09