Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $5,248.07	Professional		$1,230.27	$1,548.82	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $4,466.84	Professional		$1,548.82	$2,187.76	$4,466.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,801.89	Professional		$1,318.26	$1,949.84	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $3,467.37	Professional		$1,318.26	$1,659.59	$3,467.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,819.70	Professional		$1,258.93	$1,348.96	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,630.27	Professional		$1,174.90	$1,548.82	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,220.18 / $11,220.18	Professional		$9,332.54	$11,220.18	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,570.40	Facility		$1,318.26	$1,659.59	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $3,467.37	Professional		$1,288.25	$1,659.59	$3,467.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,691.53	Professional		$1,230.27	$1,778.28	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $3,630.78	Professional		$1,071.52	$1,513.56	$3,630.78