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 $1,348.96 / $1,698.24 / $6,309.57	Professional		$1,348.96	$1,698.24	$6,309.57
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 $1,949.84 / $2,754.23 / $5,248.07	Professional		$1,949.84	$2,754.23	$5,248.07
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 $1,348.96 / $1,995.26 / $4,466.84	Professional		$1,348.96	$1,995.26	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $3,890.45	Professional		$1,412.54	$1,698.24	$3,890.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,862.09	Professional		$1,412.54	$1,412.54	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,630.27	Professional		$1,202.26	$1,584.89	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,118.86	Facility		$54.95	$56.23	$25,118.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $16,982.44	Professional		$15,848.93	$15,848.93	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $3,090.30	Facility		$1,479.11	$1,862.09	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $3,890.45	Professional		$1,348.96	$1,737.80	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,019.95	Professional		$1,288.25	$1,949.84	$3,019.95
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 $1,174.90 / $1,659.59 / $3,630.78	Professional		$1,174.90	$1,659.59	$3,630.78