Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $23,988.33	Facility		$4,466.84	$10,471.29	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $14,791.08	Professional		$3,548.13	$4,570.88	$14,791.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $18,620.87	Facility		$6,760.83	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,677.35 / $9,120.11	Professional		$3,162.28	$4,677.35	$9,120.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $18,197.01	Facility		$61.66	$100.00	$18,197.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $9,772.37	Professional		$3,548.13	$5,128.61	$9,772.37
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 $3,090.30 / $4,897.79 / $9,549.93	Professional		$3,090.30	$4,897.79	$9,549.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $5,495.41	Professional		$1,905.46	$2,884.03	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $8,317.64	Professional		$3,467.37	$4,265.80	$8,317.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,018.94	Facility		$54.95	$56.23	$38,018.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,113.11 / $36,307.81 / $36,307.81	Professional		$33,113.11	$36,307.81	$36,307.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,897.79 / $8,128.31	Facility		$3,548.13	$4,897.79	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $10,471.29	Professional		$2,754.23	$4,897.79	$10,471.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Professional		$13,489.63	$13,489.63	$13,489.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $4,365.16	Professional		$2,398.83	$3,388.44	$4,365.16
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 $3,235.94 / $4,365.16 / $8,511.38	Professional		$3,235.94	$4,365.16	$8,511.38