Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,011.49 / $10,321.00 / $21,960.90	Facility		$2,011.49	$10,321.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,781.13 / $2,195.63 / $7,508.22	Professional		$1,781.13	$2,195.63	$7,508.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,289.00 / $26,404.93	Facility		$4,446.00	$11,289.00	$26,404.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,438.64 / $3,247.03 / $5,962.58	Professional		$2,438.64	$3,247.03	$5,962.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $8,393.26	Facility		$63.90	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,470.08 / $2,100.12 / $4,797.53	Professional		$1,470.08	$2,100.12	$4,797.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,982.89 / $2,610.54 / $5,551.96	Professional		$1,982.89	$2,610.54	$5,551.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.50 / $2,243.46 / $2,906.09	Professional		$1,482.50	$2,243.46	$2,906.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,956.68 / $2,695.10 / $4,871.81	Professional		$1,956.68	$2,695.10	$4,871.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $33,218.40 / $40,229.76	Facility		$5,000.00	$33,218.40	$40,229.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,219.06 / $15,444.48 / $19,629.75	Professional		$15,219.06	$15,444.48	$19,629.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,118.39 / $2,629.71 / $3,719.79	Facility		$2,118.39	$2,629.71	$3,719.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,982.89 / $2,676.90 / $5,619.13	Professional		$1,982.89	$2,676.90	$5,619.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,769.14 / $6,769.14 / $6,769.14	Professional		$6,769.14	$6,769.14	$6,769.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,870.70 / $2,223.75 / $2,804.32	Professional		$1,870.70	$2,223.75	$2,804.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,699.91 / $2,247.50 / $4,679.99	Professional		$1,699.91	$2,247.50	$4,679.99