Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,232.93 / $20,892.96	Facility		$4,168.69	$10,232.93	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $7,762.47	Professional		$1,659.59	$2,238.72	$7,762.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $5,623.41	Professional		$2,041.74	$2,754.23	$5,623.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,168.69 / $10,715.19	Facility		$66.07	$4,168.69	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $5,128.61	Professional		$1,737.80	$2,511.89	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,897.79	Professional		$1,737.80	$2,398.83	$4,897.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $3,090.30	Professional		$1,348.96	$2,290.87	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $4,466.84	Professional		$1,862.09	$2,511.89	$4,466.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $19,054.61 / $19,054.61	Professional		$14,454.40	$19,054.61	$19,054.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,981.07	Facility		$1,995.26	$2,570.40	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $5,370.32	Professional		$1,737.80	$2,398.83	$5,370.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,884.03	Professional		$1,698.24	$2,089.30	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $4,168.69	Professional		$1,513.56	$1,995.26	$4,168.69