Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $10,000.00 / $21,379.62	Facility		$3,981.07	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $5,011.87	Professional		$870.96	$1,096.48	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,951.21	Professional		$1,096.48	$1,445.44	$2,951.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,309.57	Facility		$63.10	$100.00	$6,309.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,630.27	Professional		$933.25	$1,380.38	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,570.40	Professional		$912.01	$1,174.90	$2,570.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,148.15	Professional		$758.58	$933.25	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,862.09	Professional		$794.33	$1,047.13	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,511.38	Facility		$54.95	$56.23	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $7,762.47 / $7,762.47	Professional		$6,760.83	$7,762.47	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,905.46	Facility		$954.99	$1,258.93	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,454.71	Professional		$891.25	$1,174.90	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,621.81	Professional		$758.58	$1,071.52	$1,621.81
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 $776.25 / $1,148.15 / $2,630.27	Professional		$776.25	$1,148.15	$2,630.27