Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,715.19 / $22,908.68	Facility		$4,897.79	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $7,943.28	Professional		$1,949.84	$2,344.23	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,803.84 / $22,387.21	Facility		$7,943.28	$13,803.84	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $5,370.32	Professional		$2,290.87	$3,019.95	$5,370.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $14,791.08	Facility		$61.66	$100.00	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $5,623.41	Professional		$2,089.30	$2,951.21	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $5,623.41 / $14,791.08	Facility		$630.96	$5,623.41	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $5,011.87	Professional		$1,698.24	$2,630.27	$5,011.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $2,818.38	Professional		$1,096.48	$2,187.76	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $4,897.79	Professional		$1,778.28	$2,187.76	$4,897.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,232.93 / $19,054.61	Facility		$2,818.38	$10,232.93	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $17,378.01 / $17,378.01	Professional		$15,135.61	$17,378.01	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $4,466.84	Facility		$1,949.84	$2,630.27	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $5,248.07	Professional		$1,584.89	$2,630.27	$5,248.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $1,995.26	Professional		$1,096.48	$1,737.80	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,623.41 / $17,378.01	Facility		$1,584.89	$5,623.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,365.16	Professional		$1,698.24	$2,290.87	$4,365.16