Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $9,332.54	Professional		$2,290.87	$3,019.95	$9,332.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $14,125.38 / $23,988.33	Facility		$8,511.38	$14,125.38	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $8,709.64	Professional		$2,884.03	$4,365.16	$8,709.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $9,332.54	Facility		$60.26	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $6,456.54	Professional		$2,041.74	$2,884.03	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $6,456.54	Professional		$2,089.30	$3,162.28	$6,456.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,162.28	Professional		$1,479.11	$2,187.76	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $5,754.40	Professional		$2,290.87	$3,019.95	$5,754.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $35,481.34	Facility		$54.95	$56.23	$35,481.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $23,988.33 / $23,988.33	Professional		$18,620.87	$23,988.33	$23,988.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,897.79	Facility		$2,398.83	$3,162.28	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $6,760.83	Professional		$2,041.74	$3,162.28	$6,760.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $3,162.28	Professional		$1,862.09	$2,398.83	$3,162.28
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 $2,137.96 / $2,951.21 / $7,244.36	Professional		$2,137.96	$2,951.21	$7,244.36