Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $8,128.31	Professional		$1,318.26	$1,698.24	$8,128.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $4,466.84	Professional		$1,659.59	$2,290.87	$4,466.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $11,481.54	Facility		$63.10	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $4,168.69	Professional		$1,513.56	$2,187.76	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,801.89	Professional		$1,380.38	$1,862.09	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,041.74	Professional		$1,258.93	$1,513.56	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,019.95	Professional		$1,258.93	$1,659.59	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Professional		$15,848.93	$15,848.93	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,162.28	Facility		$1,445.44	$1,905.46	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,890.45	Professional		$1,380.38	$1,905.46	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,691.53	Professional		$1,258.93	$1,778.28	$2,691.53
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 $1,174.90 / $1,548.82 / $3,311.31	Professional		$1,174.90	$1,548.82	$3,311.31