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 / $2,137.96 / $8,709.64	Professional		$1,698.24	$2,137.96	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $6,456.54	Professional		$1,995.26	$3,235.94	$6,456.54
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 / $2,454.71 / $5,623.41	Professional		$1,659.59	$2,454.71	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $5,370.32	Professional		$1,819.70	$2,238.72	$5,370.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,089.30	Professional		$1,380.38	$1,621.81	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $3,311.31	Professional		$1,412.54	$1,819.70	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $30,902.95	Facility		$54.95	$56.23	$30,902.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $14,791.08 / $14,791.08	Professional		$12,022.64	$14,791.08	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,235.94	Facility		$1,698.24	$2,187.76	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $5,248.07	Professional		$1,778.28	$2,238.72	$5,248.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,344.23	Professional		$1,288.25	$1,778.28	$2,344.23
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 $1,479.11 / $2,187.76 / $4,677.35	Professional		$1,479.11	$2,187.76	$4,677.35