Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,709.64 / $19,952.62	Facility		$3,311.31	$8,709.64	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $2,570.40	Professional		$346.74	$512.86	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,466.84 / $12,882.50	Facility		$2,511.89	$4,466.84	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,318.26	Professional		$416.87	$588.84	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $1,949.84 / $10,964.78	Facility		$66.07	$1,949.84	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $1,174.90	Professional		$354.81	$512.86	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $1,047.13	Facility		$707.95	$933.25	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $1,071.52	Professional		$380.19	$524.81	$1,071.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $776.25	Professional		$426.58	$588.84	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $891.25	Professional		$346.74	$512.86	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $33,884.42 / $33,884.42	Facility		$2,818.38	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $3,801.89	Professional		$3,311.31	$3,801.89	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $630.96	Professional		$380.19	$380.19	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $851.14	Facility		$407.38	$549.54	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,071.52	Professional		$380.19	$537.03	$1,071.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,479.11	Professional		$1,318.26	$1,318.26	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $9,549.93	Facility		$2,187.76	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $891.25	Professional		$323.59	$426.58	$891.25