Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $9,332.54	Professional		$2,041.74	$2,691.53	$9,332.54
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 $2,951.21 / $4,073.80 / $7,762.47	Professional		$2,951.21	$4,073.80	$7,762.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $7,079.46	Professional		$2,089.30	$3,019.95	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $6,025.60	Professional		$2,187.76	$2,691.53	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,691.53	Professional		$1,698.24	$2,137.96	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $4,786.30	Professional		$1,778.28	$2,344.23	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $61,659.50	Facility		$54.95	$56.23	$61,659.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $27,542.29	Professional		$24,547.09	$24,547.09	$27,542.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,570.88	Facility		$2,238.72	$2,818.38	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $6,025.60	Professional		$2,137.96	$2,691.53	$6,025.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,715.35	Professional		$1,737.80	$2,398.83	$3,715.35
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 $1,819.70 / $2,570.40 / $5,623.41	Professional		$1,819.70	$2,570.40	$5,623.41