Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $4,265.80	Professional		$741.31	$1,000.00	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,511.89	Professional		$891.25	$1,202.26	$2,511.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,754.23 / $10,964.78	Facility		$66.07	$2,754.23	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,187.76	Professional		$741.31	$1,096.48	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,137.96	Professional		$758.58	$977.24	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $1,380.38	Professional		$812.83	$891.25	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,737.80	Professional		$691.83	$912.01	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $33,884.42 / $33,884.42	Facility		$5,495.41	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,606.93 / $6,606.93	Professional		$5,888.44	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,659.59	Facility		$812.83	$1,023.29	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $2,089.30	Professional		$741.31	$977.24	$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
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $2,238.72	Professional		$645.65	$912.01	$2,238.72