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 $1,071.52 / $1,348.96 / $5,888.44	Professional		$1,071.52	$1,348.96	$5,888.44
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 $870.96 / $1,348.96 / $2,570.40	Professional		$870.96	$1,348.96	$2,570.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,754.23	Professional		$977.24	$1,380.38	$2,754.23
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 $912.01 / $1,412.54 / $2,754.23	Professional		$912.01	$1,412.54	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,778.28	Professional		$501.19	$758.58	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,570.40	Professional		$1,122.02	$1,380.38	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $10,715.19	Professional		$8,912.51	$10,715.19	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,398.83	Facility		$1,047.13	$1,513.56	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,445.44 / $3,090.30	Professional		$870.96	$1,445.44	$3,090.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,258.93	Professional		$630.96	$891.25	$1,258.93
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 $912.01 / $1,258.93 / $2,511.89	Professional		$912.01	$1,258.93	$2,511.89