Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $21,379.62	Facility		$3,715.35	$9,549.93	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $3,548.13	Professional		$616.60	$741.31	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,803.84	Facility		$3,630.78	$6,165.95	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,778.28	Professional		$794.33	$1,023.29	$1,778.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,691.53 / $7,762.47	Facility		$66.07	$2,691.53	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,737.80	Professional		$645.65	$933.25	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,466.84 / $13,489.63	Facility		$660.69	$4,466.84	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,548.82	Professional		$616.60	$851.14	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $954.99	Professional		$562.34	$707.95	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,380.38	Professional		$588.84	$724.44	$1,380.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $16,218.10	Facility		$2,818.38	$2,818.38	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,754.40 / $5,754.40	Professional		$4,786.30	$5,754.40	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $1,412.54	Facility		$630.96	$831.76	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,698.24	Professional		$588.84	$851.14	$1,698.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $954.99	Professional		$562.34	$724.44	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $13,489.63 / $28,840.32	Facility		$5,888.44	$13,489.63	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,380.38	Professional		$537.03	$741.31	$1,380.38