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 $1,174.90 / $1,548.82 / $6,456.54	Professional		$1,174.90	$1,548.82	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,677.35	Professional		$1,737.80	$2,398.83	$4,677.35
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 $1,258.93 / $1,819.70 / $4,168.69	Professional		$1,258.93	$1,819.70	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,548.13	Professional		$1,288.25	$1,584.89	$3,548.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,698.24	Professional		$1,148.15	$1,288.25	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,398.83	Professional		$1,096.48	$1,412.54	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,908.68	Facility		$54.95	$56.23	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,964.78 / $10,964.78	Professional		$10,715.19	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,511.89	Facility		$1,318.26	$1,698.24	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $3,548.13	Professional		$1,230.27	$1,584.89	$3,548.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,454.71	Professional		$1,148.15	$1,621.81	$2,454.71
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 $1,096.48 / $1,513.56 / $3,311.31	Professional		$1,096.48	$1,513.56	$3,311.31