Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $6,165.95	Professional		$1,412.54	$1,698.24	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,981.07	Professional		$1,737.80	$2,290.87	$3,981.07
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 $1,737.80 / $2,398.83 / $4,365.16	Professional		$1,737.80	$2,398.83	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,715.35	Professional		$1,380.38	$2,089.30	$3,715.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $2,041.74	Professional		$1,380.38	$1,548.82	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $3,090.30	Professional		$1,288.25	$1,548.82	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $13,182.57 / $13,182.57	Professional		$10,715.19	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,311.31	Facility		$1,445.44	$1,905.46	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $3,890.45	Professional		$1,288.25	$2,089.30	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,344.23	Professional		$1,258.93	$1,698.24	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,235.94	Professional		$1,258.93	$1,819.70	$3,235.94