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 $1,000.00 / $1,258.93 / $5,754.40	Professional		$1,000.00	$1,258.93	$5,754.40
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 $1,148.15 / $1,584.89 / $3,311.31	Professional		$1,148.15	$1,584.89	$3,311.31
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 $1,023.29 / $1,513.56 / $2,951.21	Professional		$1,023.29	$1,513.56	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,818.38	Professional		$1,023.29	$1,318.26	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,258.93	Professional		$776.25	$1,047.13	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,137.96	Professional		$891.25	$1,174.90	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,511.38	Facility		$54.95	$56.23	$8,511.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $9,120.11 / $9,120.11	Professional		$7,762.47	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,290.87	Facility		$1,122.02	$1,412.54	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,818.38	Professional		$977.24	$1,318.26	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,698.24	Professional		$851.14	$1,174.90	$1,698.24
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 $891.25 / $1,288.25 / $3,019.95	Professional		$891.25	$1,288.25	$3,019.95