Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $9,332.54	Professional		$1,412.54	$2,570.40	$9,332.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,818.38 / $6,165.95	Professional		$1,905.46	$2,818.38	$6,165.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $5,011.87	Professional		$1,380.38	$1,995.26	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $5,623.41	Professional		$1,479.11	$2,454.71	$5,623.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,511.89	Professional		$1,202.26	$1,513.56	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,715.35	Professional		$1,737.80	$2,290.87	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,018.94	Facility		$54.95	$56.23	$38,018.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $18,197.01 / $18,197.01	Professional		$14,791.08	$18,197.01	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,311.31	Facility		$1,819.70	$2,398.83	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $5,623.41	Professional		$1,479.11	$2,454.71	$5,623.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,570.40	Professional		$1,513.56	$1,905.46	$2,570.40
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 / $2,290.87 / $5,623.41	Professional		$1,513.56	$2,290.87	$5,623.41