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 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $6,025.60	Professional		$1,122.02	$1,380.38	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,309.57 / $13,803.84	Facility		$3,630.78	$6,309.57	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,715.35	Professional		$1,380.38	$1,862.09	$3,715.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $3,388.44	Professional		$1,174.90	$1,737.80	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $3,311.31	Professional		$1,148.15	$1,479.11	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,479.11	Professional		$977.24	$1,174.90	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,344.23	Professional		$1,000.00	$1,318.26	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,715.19	Facility		$54.95	$56.23	$10,715.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,772.37 / $9,772.37	Professional		$9,120.11	$9,772.37	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,398.83	Facility		$1,202.26	$1,584.89	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $3,090.30	Professional		$1,096.48	$1,479.11	$3,090.30
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 $977.24 / $1,348.96 / $2,089.30	Professional		$977.24	$1,348.96	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $3,311.31	Professional		$977.24	$1,445.44	$3,311.31