Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $4,073.80	Professional		$724.44	$977.24	$4,073.80
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 $851.14 / $1,174.90 / $2,398.83	Professional		$851.14	$1,174.90	$2,398.83
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 $724.44 / $1,071.52 / $2,089.30	Professional		$724.44	$1,071.52	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $2,089.30	Professional		$724.44	$954.99	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $1,047.13	Professional		$741.31	$776.25	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,548.82	Professional		$660.69	$870.96	$1,548.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $6,165.95	Facility		$1,995.26	$1,995.26	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,309.57 / $6,309.57	Professional		$6,165.95	$6,309.57	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,737.80	Facility		$776.25	$1,023.29	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,995.26	Professional		$724.44	$954.99	$1,995.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,584.89	Professional		$707.95	$1,047.13	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $15,135.61	Facility		$3,890.45	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $2,137.96	Professional		$645.65	$933.25	$2,137.96