Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.20 / $2,251.52 / $13,557.40	Facility		$1,924.20	$2,251.52	$13,557.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,721.08 / $2,152.73 / $9,823.40	Professional		$1,721.08	$2,152.73	$9,823.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.42 / $5,977.00 / $13,012.00	Facility		$2,393.42	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,282.00 / $3,137.02 / $5,999.47	Professional		$2,282.00	$3,137.02	$5,999.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $16,022.33	Facility		$65.80	$100.00	$16,022.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,860.46 / $2,657.80 / $5,717.61	Professional		$1,860.46	$2,657.80	$5,717.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,771.04 / $1,774.17 / $3,172.01	Facility		$1,771.04	$1,774.17	$3,172.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,108.32 / $2,794.97 / $5,241.17	Professional		$2,108.32	$2,794.97	$5,241.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,964.77 / $2,511.89 / $3,139.86	Professional		$1,964.77	$2,511.89	$3,139.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,741.61 / $2,455.96 / $4,190.88	Professional		$1,741.61	$2,455.96	$4,190.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,003.55 / $8,663.57	Facility		$55.00	$8,003.55	$8,663.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,931.36 / $15,775.28 / $17,883.00	Professional		$12,931.36	$15,775.28	$17,883.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,073.30 / $2,741.14 / $3,825.53	Facility		$2,073.30	$2,741.14	$3,825.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,133.17 / $2,954.29 / $5,322.22	Professional		$2,133.17	$2,954.29	$5,322.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,095.24 / $6,095.24 / $7,368.32	Professional		$6,095.24	$6,095.24	$7,368.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,792.85 / $2,433.13 / $5,275.75	Professional		$1,792.85	$2,433.13	$5,275.75