Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $4,570.88	Professional		$1,023.29	$1,318.26	$4,570.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $3,311.31	Professional		$1,230.27	$1,659.59	$3,311.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,467.37 / $10,964.78	Facility		$66.07	$3,467.37	$10,964.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,884.03	Professional		$1,000.00	$1,479.11	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Facility		$2,089.30	$2,089.30	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,884.03	Professional		$1,023.29	$1,348.96	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $2,344.23	Professional		$1,071.52	$1,174.90	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,238.72	Professional		$891.25	$1,174.90	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $33,884.42 / $33,884.42	Facility		$9,332.54	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,709.64 / $8,709.64	Professional		$8,128.31	$8,709.64	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,238.72	Facility		$1,096.48	$1,348.96	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,754.23	Professional		$1,000.00	$1,318.26	$2,754.23
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
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,951.21	Professional		$891.25	$1,230.27	$2,951.21