Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $4,265.80	Professional		$1,023.29	$1,202.26	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,417.38	Facility		$6,918.31	$11,748.98	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,818.38	Professional		$1,148.15	$1,584.89	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $8,128.31	Facility		$63.10	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,090.30	Professional		$1,148.15	$1,659.59	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,570.40	Professional		$954.99	$1,380.38	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,412.54	Professional		$933.25	$1,071.52	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,187.76	Professional		$870.96	$1,071.52	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,709.64	Facility		$54.95	$56.23	$8,709.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,238.72	Facility		$1,023.29	$1,412.54	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,754.23	Professional		$891.25	$1,412.54	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,995.26	Professional		$933.25	$1,288.25	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,238.72	Professional		$870.96	$1,174.90	$2,238.72