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 $1,584.89 / $1,905.46 / $5,623.41	Professional		$1,584.89	$1,905.46	$5,623.41
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 $1,698.24 / $2,187.76 / $4,073.80	Professional		$1,698.24	$2,187.76	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $8,128.31	Facility		$61.66	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $4,570.88	Professional		$1,659.59	$2,398.83	$4,570.88
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 $1,412.54 / $2,089.30 / $3,981.07	Professional		$1,412.54	$2,089.30	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,290.87	Professional		$1,348.96	$1,737.80	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $3,467.37	Professional		$1,445.44	$1,778.28	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,488.17	Facility		$54.95	$56.23	$15,488.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $14,791.08 / $14,791.08	Professional		$12,302.69	$14,791.08	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,548.13	Facility		$1,621.81	$2,187.76	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $4,365.16	Professional		$1,380.38	$2,089.30	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,884.03	Professional		$1,412.54	$1,949.84	$2,884.03
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 $1,380.38 / $1,862.09 / $3,548.13	Professional		$1,380.38	$1,862.09	$3,548.13