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 $1,348.96 / $1,778.28 / $6,165.95	Professional		$1,348.96	$1,778.28	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,892.96	Facility		$6,918.31	$11,748.98	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $5,248.07	Professional		$1,905.46	$2,630.27	$5,248.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $8,128.31	Facility		$61.66	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $4,168.69	Professional		$1,479.11	$2,137.96	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $3,981.07	Professional		$1,479.11	$1,862.09	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,137.96	Professional		$1,621.81	$1,621.81	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,388.44	Professional		$1,380.38	$1,862.09	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,379.62	Facility		$54.95	$56.23	$21,379.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $14,125.38 / $14,125.38	Professional		$10,964.78	$14,125.38	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,090.30	Facility		$1,548.82	$1,995.26	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,981.07	Professional		$1,380.38	$1,862.09	$3,981.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
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 $1,258.93 / $1,737.80 / $4,365.16	Professional		$1,258.93	$1,737.80	$4,365.16