Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $21,379.62	Facility		$3,548.13	$8,912.51	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $6,025.60	Professional		$1,288.25	$1,737.80	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $4,365.16	Professional		$1,584.89	$2,187.76	$4,365.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $8,128.31	Facility		$61.66	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,981.07	Professional		$1,445.44	$2,089.30	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,801.89	Professional		$1,348.96	$1,819.70	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,041.74	Professional		$1,047.13	$1,513.56	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,467.37	Professional		$1,230.27	$1,621.81	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,182.57	Facility		$54.95	$56.23	$13,182.57
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 $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,951.21	Facility		$1,380.38	$1,819.70	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,801.89	Professional		$1,348.96	$1,862.09	$3,801.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,238.72	Professional		$1,230.27	$1,548.82	$2,238.72
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 $1,122.02 / $1,513.56 / $3,162.28	Professional		$1,122.02	$1,513.56	$3,162.28