Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,232.93 / $23,988.33	Facility		$4,897.79	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $5,370.32	Professional		$831.76	$1,071.52	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $19,952.62	Facility		$6,918.31	$11,748.98	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $3,090.30	Professional		$1,122.02	$1,548.82	$3,090.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,691.53	Professional		$933.25	$1,348.96	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,511.89	Professional		$891.25	$1,174.90	$2,511.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,258.93	Professional		$724.44	$1,047.13	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,137.96	Professional		$891.25	$1,174.90	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,120.11	Facility		$54.95	$56.23	$9,120.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,137.96	Facility		$977.24	$1,288.25	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,511.89	Professional		$891.25	$1,174.90	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,230.27	Professional		$724.44	$954.99	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $2,754.23	Professional		$758.58	$1,071.52	$2,754.23