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 $758.58 / $891.25 / $3,311.31	Professional		$758.58	$891.25	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,995.26	Professional		$851.14	$1,096.48	$1,995.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,238.72	Professional		$851.14	$1,202.26	$2,238.72
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 $741.31 / $1,071.52 / $1,949.84	Professional		$741.31	$1,071.52	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,122.02	Professional		$676.08	$870.96	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,659.59	Professional		$724.44	$870.96	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,585.78	Facility		$54.95	$56.23	$7,585.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,244.36 / $7,244.36	Professional		$5,888.44	$7,244.36	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,698.24	Facility		$776.25	$1,047.13	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $2,089.30	Professional		$691.83	$1,071.52	$2,089.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,148.15	Professional		$676.08	$891.25	$1,148.15
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 $660.69 / $933.25 / $1,659.59	Professional		$660.69	$933.25	$1,659.59