Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,413.10 / $18,197.01	Facility		$2,691.53	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $1,288.25	Professional		$223.87	$389.05	$1,288.25
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 $239.88 / $338.84 / $676.08	Professional		$239.88	$338.84	$676.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $8,912.51	Facility		$66.07	$2,511.89	$8,912.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $741.31	Professional		$251.19	$389.05	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,584.89 / $2,630.27	Facility		$616.60	$1,584.89	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $724.44	Professional		$245.47	$380.19	$724.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $645.65	Professional		$190.55	$288.40	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $724.44	Professional		$218.78	$389.05	$724.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $45,708.82 / $45,708.82	Facility		$7,943.28	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $3,311.31	Professional		$2,818.38	$3,311.31	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $549.54	Professional		$331.13	$331.13	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $660.69	Facility		$234.42	$380.19	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $812.83	Professional		$239.88	$389.05	$812.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,202.26	Professional		$741.31	$741.31	$1,202.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $436.52	Professional		$204.17	$309.03	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,244.36 / $15,135.61	Facility		$3,090.30	$7,244.36	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $602.56	Professional		$194.98	$316.23	$602.56