Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $5,248.07	Professional		$933.25	$1,174.90	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $3,090.30	Professional		$1,148.15	$1,548.82	$3,090.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,818.38	Professional		$977.24	$1,445.44	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,691.53	Professional		$954.99	$1,230.27	$2,691.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,230.27	Professional		$812.83	$977.24	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,949.84	Professional		$831.76	$1,096.48	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,128.31 / $8,128.31	Professional		$7,079.46	$8,128.31	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,995.26	Facility		$1,023.29	$1,348.96	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,570.40	Professional		$933.25	$1,230.27	$2,570.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,737.80	Professional		$812.83	$1,122.02	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,754.23	Professional		$812.83	$1,202.26	$2,754.23