Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $8,128.31	Professional		$1,949.84	$2,454.71	$8,128.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $5,011.87	Professional		$1,949.84	$2,511.89	$5,011.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $9,332.54	Facility		$60.26	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $5,248.07	Professional		$1,905.46	$2,754.23	$5,248.07
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 $1,737.80 / $2,630.27 / $5,128.61	Professional		$1,737.80	$2,630.27	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $3,090.30	Professional		$851.14	$1,288.25	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $4,570.88	Professional		$1,949.84	$2,398.83	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,892.96	Facility		$54.95	$56.23	$20,892.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $19,952.62 / $19,952.62	Professional		$16,218.10	$19,952.62	$19,952.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $4,365.16	Facility		$2,089.30	$2,691.53	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $5,754.40	Professional		$1,513.56	$2,691.53	$5,754.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,187.76	Professional		$1,071.52	$1,479.11	$2,187.76
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 $1,737.80 / $2,344.23 / $4,570.88	Professional		$1,737.80	$2,344.23	$4,570.88