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 / $23,988.33	Facility		$4,466.84	$10,471.29	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $6,606.93	Professional		$1,621.81	$2,344.23	$6,606.93
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 $2,454.71 / $3,235.94 / $6,309.57	Professional		$2,454.71	$3,235.94	$6,309.57
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 $1,659.59 / $2,398.83 / $5,623.41	Professional		$1,659.59	$2,398.83	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $4,786.30	Professional		$1,778.28	$2,187.76	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $2,344.23	Professional		$1,778.28	$1,949.84	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $4,677.35	Professional		$1,513.56	$1,949.84	$4,677.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $52,480.75	Facility		$54.95	$56.23	$52,480.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Professional		$21,379.62	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,630.78	Facility		$1,819.70	$2,344.23	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,786.30	Professional		$1,698.24	$2,187.76	$4,786.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $1,995.26	Professional		$1,445.44	$1,621.81	$1,995.26
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 $1,513.56 / $2,089.30 / $4,677.35	Professional		$1,513.56	$2,089.30	$4,677.35