Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $7,585.78	Professional		$1,202.26	$1,548.82	$7,585.78
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 $1,412.54 / $1,949.84 / $3,981.07	Professional		$1,412.54	$1,949.84	$3,981.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $8,128.31	Facility		$63.10	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,630.78	Professional		$1,258.93	$1,819.70	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,467.37	Professional		$1,258.93	$1,659.59	$3,467.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,949.84	Professional		$954.99	$1,445.44	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,884.03	Professional		$1,174.90	$1,548.82	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,882.50	Facility		$54.95	$56.23	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $12,022.64 / $12,022.64	Professional		$10,964.78	$12,022.64	$12,022.64
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 $1,318.26 / $1,737.80 / $2,884.03	Facility		$1,318.26	$1,737.80	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,548.13	Professional		$1,230.27	$1,698.24	$3,548.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,621.81	Professional		$954.99	$1,318.26	$1,621.81
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 $1,047.13 / $1,412.54 / $3,019.95	Professional		$1,047.13	$1,412.54	$3,019.95