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 $1,698.24 / $2,238.72 / $8,128.31	Professional		$1,698.24	$2,238.72	$8,128.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,218.10 / $28,840.32	Facility		$11,220.18	$16,218.10	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $6,760.83	Professional		$2,511.89	$3,548.13	$6,760.83
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 $1,862.09 / $2,691.53 / $6,165.95	Professional		$1,862.09	$2,691.53	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $5,128.61	Professional		$1,862.09	$2,290.87	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,398.83	Professional		$1,862.09	$1,862.09	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $3,311.31	Professional		$1,584.89	$2,041.74	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $53,703.18	Facility		$54.95	$56.23	$53,703.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Professional		$24,547.09	$24,547.09	$24,547.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,890.45	Facility		$1,949.84	$2,454.71	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $5,128.61	Professional		$1,819.70	$2,290.87	$5,128.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $3,981.07	Professional		$1,698.24	$2,570.40	$3,981.07
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 $1,584.89 / $2,187.76 / $4,786.30	Professional		$1,584.89	$2,187.76	$4,786.30