Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $16,982.44	Facility		$2,344.23	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $2,511.89	Professional		$346.74	$501.19	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $13,489.63	Facility		$3,630.78	$6,025.60	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,288.25	Professional		$407.38	$602.56	$1,288.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,454.71 / $7,762.47	Facility		$66.07	$2,454.71	$7,762.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $1,202.26	Professional		$371.54	$524.81	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,737.80 / $2,344.23	Facility		$501.19	$1,737.80	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $1,023.29	Professional		$363.08	$512.86	$1,023.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $776.25	Professional		$338.84	$512.86	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $891.25	Professional		$331.13	$501.19	$891.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $28,840.32 / $28,840.32	Facility		$6,918.31	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $3,715.35	Professional		$3,235.94	$3,715.35	$3,715.35
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 $416.87 / $562.34 / $851.14	Facility		$416.87	$562.34	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $1,047.13	Professional		$371.54	$524.81	$1,047.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,479.11	Professional		$1,288.25	$1,288.25	$1,479.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $645.65	Professional		$338.84	$501.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $9,549.93	Facility		$2,238.72	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $870.96	Professional		$316.23	$416.87	$870.96