Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $3,019.95	Professional		$478.63	$602.56	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,232.93 / $17,782.79	Facility		$6,025.60	$10,232.93	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,862.09	Professional		$660.69	$933.25	$1,862.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $9,120.11	Facility		$63.10	$100.00	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,659.59	Professional		$575.44	$831.76	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,445.44	Professional		$524.81	$691.83	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,000.00	Professional		$549.54	$741.31	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,174.90	Professional		$467.74	$630.96	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,548.13	Facility		$54.95	$56.23	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $5,128.61	Professional		$4,073.80	$5,128.61	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $1,174.90	Facility		$537.03	$724.44	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,479.11	Professional		$524.81	$691.83	$1,479.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $831.76 / $1,412.54	Professional		$436.52	$831.76	$1,412.54
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 $467.74 / $660.69 / $1,621.81	Professional		$467.74	$660.69	$1,621.81