Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,471.29 / $22,908.68	Facility		$4,786.30	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $4,786.30	Professional		$891.25	$1,148.15	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,548.13	Professional		$1,380.38	$1,949.84	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $24,547.09	Facility		$61.66	$100.00	$24,547.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,884.03	Professional		$870.96	$1,258.93	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,019.95	Professional		$1,000.00	$1,230.27	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,202.26	Professional		$794.33	$912.01	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,905.46	Professional		$794.33	$1,023.29	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $8,128.31 / $8,128.31	Professional		$6,760.83	$8,128.31	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,659.59	Facility		$891.25	$1,174.90	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,884.03	Professional		$1,000.00	$1,230.27	$2,884.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,348.96	Professional		$741.31	$1,023.29	$1,348.96
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 $831.76 / $1,230.27 / $2,630.27	Professional		$831.76	$1,230.27	$2,630.27