Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $22,387.21	Facility		$3,548.13	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $1,023.29	Professional		$173.78	$223.87	$1,023.29
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 $190.55 / $251.19 / $457.09	Professional		$190.55	$251.19	$457.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $10,964.78	Facility		$66.07	$3,548.13	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $537.03	Professional		$194.98	$281.84	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,778.28 / $3,548.13	Facility		$660.69	$1,778.28	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $501.19	Professional		$190.55	$263.03	$501.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $302.00	Professional		$117.49	$223.87	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $562.34	Professional		$173.78	$218.78	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $33,884.42 / $33,884.42	Facility		$7,943.28	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,698.24	Professional		$1,445.44	$1,698.24	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $257.04 / $416.87	Facility		$186.21	$257.04	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $512.86	Professional		$190.55	$269.15	$512.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
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 $154.88 / $204.17 / $398.11	Professional		$154.88	$204.17	$398.11