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 / $24,547.09	Facility		$4,466.84	$10,715.19	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $11,220.18	Professional		$2,630.27	$3,388.44	$11,220.18
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 $3,311.31 / $4,786.30 / $8,912.51	Professional		$3,311.31	$4,786.30	$8,912.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $12,882.50	Facility		$60.26	$100.00	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $7,943.28	Professional		$2,818.38	$3,981.07	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $7,585.78	Professional		$2,818.38	$3,630.78	$7,585.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,801.89	Professional		$2,344.23	$3,019.95	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $6,456.54	Professional		$2,570.40	$3,388.44	$6,456.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $47,863.01	Facility		$5,011.87	$5,011.87	$47,863.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $26,915.35 / $26,915.35	Professional		$21,379.62	$26,915.35	$26,915.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $5,754.40	Facility		$2,884.03	$3,630.78	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $7,762.47	Professional		$2,754.23	$3,715.35	$7,762.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $5,011.87	Professional		$2,454.71	$3,388.44	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $17,782.79 / $38,904.51	Facility		$9,120.11	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $6,309.57	Professional		$2,398.83	$3,162.28	$6,309.57