Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $4,365.16	Professional		$724.44	$933.25	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,630.27	Professional		$870.96	$1,318.26	$2,630.27
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 $851.14 / $1,230.27 / $2,398.83	Professional		$851.14	$1,230.27	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $2,137.96	Professional		$776.25	$1,000.00	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,047.13	Professional		$794.33	$794.33	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,659.59	Professional		$676.08	$891.25	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,456.54	Facility		$54.95	$56.23	$6,456.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,905.46	Facility		$794.33	$1,047.13	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,137.96	Professional		$758.58	$1,000.00	$2,137.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $2,344.23	Professional		$660.69	$912.01	$2,344.23