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 $1,071.52 / $1,318.26 / $4,466.84	Professional		$1,071.52	$1,318.26	$4,466.84
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 $1,122.02 / $1,445.44 / $2,754.23	Professional		$1,122.02	$1,445.44	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,884.03	Professional		$1,047.13	$1,479.11	$2,884.03
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 $977.24 / $1,445.44 / $2,754.23	Professional		$977.24	$1,445.44	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,584.89	Professional		$794.33	$1,202.26	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,454.71	Professional		$1,023.29	$1,230.27	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,471.29 / $10,471.29	Professional		$8,709.64	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,454.71	Facility		$1,122.02	$1,479.11	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $3,019.95	Professional		$933.25	$1,445.44	$3,019.95
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 / $1,202.26 / $1,698.24	Professional		$1,000.00	$1,202.26	$1,698.24
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 $954.99 / $1,258.93 / $2,454.71	Professional		$954.99	$1,258.93	$2,454.71