Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,912.51 / $22,908.68	Facility		$3,630.78	$8,912.51	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $5,370.32	Professional		$1,122.02	$1,348.96	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,715.35	Professional		$1,318.26	$1,819.70	$3,715.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,128.61 / $14,791.08	Facility		$66.07	$5,128.61	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,388.44	Professional		$1,202.26	$1,737.80	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility		$18,620.87	$18,620.87	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,235.94	Professional		$1,202.26	$1,584.89	$3,235.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,819.70	Professional		$954.99	$1,348.96	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,818.38	Professional		$1,096.48	$1,445.44	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $53,703.18	Facility		$33,884.42	$33,884.42	$53,703.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $10,964.78	Professional		$9,120.11	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,570.40	Facility		$1,230.27	$1,621.81	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,235.94	Professional		$1,174.90	$1,584.89	$3,235.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $2,041.74	Professional		$1,096.48	$1,445.44	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,691.53	Professional		$977.24	$1,288.25	$2,691.53