Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $4,466.84	Professional		$741.31	$891.25	$4,466.84
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 $870.96 / $1,202.26 / $2,691.53	Professional		$870.96	$1,202.26	$2,691.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,691.53 / $7,413.10	Facility		$66.07	$2,691.53	$7,413.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,570.40	Professional		$891.25	$1,288.25	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Facility		$1,778.28	$1,778.28	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $2,290.87	Professional		$794.33	$1,047.13	$2,290.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $2,041.74	Professional		$891.25	$1,000.00	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,737.80	Professional		$724.44	$977.24	$1,737.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $19,498.45 / $19,498.45	Facility		$7,943.28	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $7,079.46 / $7,079.46	Professional		$6,025.60	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,698.24	Facility		$758.58	$1,071.52	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $2,238.72	Professional		$758.58	$1,047.13	$2,238.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,302.69 / $25,703.96	Facility		$6,456.54	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $2,398.83	Professional		$691.83	$954.99	$2,398.83