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 $1,479.11 / $1,949.84 / $6,760.83	Professional		$1,479.11	$1,949.84	$6,760.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,417.38	Facility		$6,918.31	$11,748.98	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $5,011.87	Professional		$1,862.09	$2,511.89	$5,011.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $8,317.64	Facility		$63.10	$100.00	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $4,365.16	Professional		$1,513.56	$2,238.72	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,365.16	Professional		$1,548.82	$2,041.74	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,995.26	Professional		$1,318.26	$1,584.89	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,388.44	Professional		$1,348.96	$1,778.28	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,454.40	Facility		$54.95	$56.23	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $13,182.57 / $13,182.57	Professional		$11,748.98	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $3,162.28	Facility		$1,621.81	$2,137.96	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $4,168.69	Professional		$1,513.56	$1,995.26	$4,168.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,818.38	Professional		$1,318.26	$1,819.70	$2,818.38
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 $1,318.26 / $1,862.09 / $4,466.84	Professional		$1,318.26	$1,862.09	$4,466.84