Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $691.83	Facility		$354.81	$354.81	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,513.56 / $1,949.84	Professional		$354.81	$1,513.56	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $9,772.37 / $10,000.00	Facility		$4,897.79	$9,772.37	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $489.78 / $4,786.30	Professional		$239.88	$489.78	$4,786.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,365.16 / $5,495.41	Facility		$1,412.54	$4,365.16	$5,495.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,890.45	Professional		$1,148.15	$1,513.56	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,884.03 / $6,456.54	Facility		$134.90	$2,884.03	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,630.27	Professional		$1,548.82	$1,949.84	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,388.44	Professional		$1,737.80	$2,137.96	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $14,791.08	Professional		$9,772.37	$14,791.08	$14,791.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,344.23 / $5,011.87	Facility		$512.86	$2,344.23	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $2,818.38	Professional		$1,949.84	$2,137.96	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $23,442.29	Professional		$1,548.82	$1,949.84	$23,442.29
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,949.84 / $1,949.84	Facility		$812.83	$1,949.84	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $3,715.35	Professional		$812.83	$812.83	$3,715.35