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 $2,454.71 / $3,235.94 / $9,549.93	Professional		$2,454.71	$3,235.94	$9,549.93
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 $3,019.95 / $4,570.88 / $8,912.51	Professional		$3,019.95	$4,570.88	$8,912.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $11,481.54	Facility		$61.66	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $7,762.47	Professional		$2,454.71	$3,548.13	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $7,079.46	Professional		$2,290.87	$3,388.44	$7,079.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $3,801.89	Professional		$1,659.59	$2,454.71	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $6,456.54	Professional		$2,630.27	$3,467.37	$6,456.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,018.94	Facility		$54.95	$56.23	$38,018.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $25,118.86 / $25,118.86	Professional		$19,952.62	$25,118.86	$25,118.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $5,495.41	Facility		$2,630.27	$3,548.13	$5,495.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $7,244.36	Professional		$2,290.87	$3,388.44	$7,244.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,548.13	Professional		$2,089.30	$2,818.38	$3,548.13
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 $2,290.87 / $3,162.28 / $7,943.28	Professional		$2,290.87	$3,162.28	$7,943.28