Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,232.93 / $23,988.33	Facility		$4,786.30	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $6,456.54	Professional		$1,047.13	$1,513.56	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,801.89	Professional		$1,348.96	$1,862.09	$3,801.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,623.41 / $16,982.44	Facility		$66.07	$5,623.41	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,311.31	Professional		$1,148.15	$1,513.56	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,951.21	Professional		$1,047.13	$1,348.96	$2,951.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,584.89	Professional		$851.14	$1,230.27	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $3,981.07	Professional		$1,000.00	$1,318.26	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $33,884.42 / $33,884.42	Facility		$16,595.87	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,232.93 / $10,232.93	Professional		$8,709.64	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,137.96	Facility		$1,047.13	$1,380.38	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,818.38	Professional		$1,047.13	$1,380.38	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,819.70	Professional		$1,000.00	$1,258.93	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $12,302.69 / $25,703.96	Facility		$6,918.31	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,511.89	Professional		$891.25	$1,258.93	$2,511.89