Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,471.29 / $22,908.68	Facility		$3,801.89	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $3,388.44	Professional		$549.54	$691.83	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,905.46	Professional		$758.58	$1,000.00	$1,905.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,548.13 / $7,943.28	Facility		$66.07	$3,548.13	$7,943.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,659.59	Professional		$588.84	$831.76	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,548.82	Professional		$575.44	$758.58	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $933.25	Professional		$426.58	$691.83	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,445.44	Professional		$575.44	$758.58	$1,445.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,606.93	Facility		$54.95	$56.23	$6,606.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,495.41 / $5,495.41	Professional		$4,570.88	$5,495.41	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $1,230.27	Facility		$616.60	$794.33	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,621.81	Professional		$562.34	$776.25	$1,621.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $912.01	Professional		$537.03	$630.96	$912.01
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 $489.78 / $645.65 / $1,348.96	Professional		$489.78	$645.65	$1,348.96