Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,471.29 / $22,908.68	Facility		$4,897.79	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $6,760.83	Professional		$1,380.38	$1,698.24	$6,760.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $5,623.41	Professional		$2,137.96	$3,162.28	$5,623.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $18,197.01	Facility		$60.26	$100.00	$18,197.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $4,466.84	Professional		$1,412.54	$2,041.74	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $4,365.16	Professional		$1,479.11	$1,949.84	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,698.24	Professional		$1,288.25	$1,318.26	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,570.40	Professional		$1,122.02	$1,479.11	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,988.33	Facility		$54.95	$56.23	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,481.54 / $11,481.54	Professional		$9,332.54	$11,481.54	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,511.89	Facility		$1,288.25	$1,659.59	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $4,365.16	Professional		$1,479.11	$1,949.84	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,238.72	Professional		$1,071.52	$1,479.11	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $3,801.89	Professional		$1,202.26	$1,862.09	$3,801.89