Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,090.26 / $10,070.00 / $22,788.00	Facility		$4,090.26	$10,070.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,868.14 / $4,515.43 / $16,052.50	Professional		$3,868.14	$4,515.43	$16,052.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.10 / $11,780.00 / $23,711.32	Facility		$4,574.10	$11,780.00	$23,711.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,643.26 / $5,551.10 / $11,526.76	Professional		$3,643.26	$5,551.10	$11,526.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $8,393.26	Facility		$63.90	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,640.10 / $2,369.40 / $5,921.38	Professional		$1,640.10	$2,369.40	$5,921.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,012.24 / $5,198.20 / $11,866.03	Professional		$3,012.24	$5,198.20	$11,866.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.16 / $3,019.26 / $5,736.76	Professional		$1,995.16	$3,019.26	$5,736.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,816.50 / $4,990.33 / $9,161.37	Professional		$3,816.50	$4,990.33	$9,161.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $76,487.36 / $78,496.32	Facility		$55.00	$76,487.36	$78,496.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,001.76 / $30,776.64 / $36,642.75	Professional		$30,001.76	$30,776.64	$36,642.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,145.06 / $4,952.21 / $6,996.92	Facility		$3,145.06	$4,952.21	$6,996.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,091.17 / $5,435.68 / $11,448.36	Professional		$3,091.17	$5,435.68	$11,448.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,762.22 / $13,762.22 / $13,762.22	Professional		$13,762.22	$13,762.22	$13,762.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,995.16 / $3,554.37 / $4,887.26	Professional		$1,995.16	$3,554.37	$4,887.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,414.70 / $4,679.41 / $10,909.74	Professional		$3,414.70	$4,679.41	$10,909.74