Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,184.52 / $8,090.00 / $18,309.00	Facility		$2,184.52	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,815.86 / $2,183.87 / $11,334.70	Professional		$1,815.86	$2,183.87	$11,334.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $11,825.00 / $23,587.93	Facility		$4,667.00	$11,825.00	$23,587.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,516.94 / $3,211.80 / $6,112.73	Professional		$2,516.94	$3,211.80	$6,112.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $11,616.47	Facility		$64.00	$100.00	$11,616.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,962.58 / $2,805.42 / $6,138.96	Professional		$1,962.58	$2,805.42	$6,138.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,230.98 / $2,822.75 / $5,953.81	Professional		$2,230.98	$2,822.75	$5,953.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,659.22 / $3,041.46	Professional		$1,096.42	$1,659.22	$3,041.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,964.64 / $2,757.14 / $4,935.59	Professional		$1,964.64	$2,757.14	$4,935.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,610.56 / $20,170.48	Facility		$55.00	$19,610.56	$20,170.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,628.38 / $22,628.38 / $22,628.38	Professional		$22,628.38	$22,628.38	$22,628.38
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 $2,254.66 / $2,900.29 / $4,319.02	Facility		$2,254.66	$2,900.29	$4,319.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,230.98 / $2,900.29 / $5,811.28	Professional		$2,230.98	$2,900.29	$5,811.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,032.96 / $7,032.96 / $7,032.96	Professional		$7,032.96	$7,032.96	$7,032.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,425.35 / $1,973.56 / $2,700.90	Professional		$1,425.35	$1,973.56	$2,700.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,688.85 / $2,296.71 / $4,766.25	Professional		$1,688.85	$2,296.71	$4,766.25