Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $7,762.47	Professional		$1,071.52	$1,698.24	$7,762.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $4,168.69	Professional		$1,174.90	$1,778.28	$4,168.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $12,302.69	Facility		$66.07	$4,786.30	$12,302.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $3,801.89	Professional		$1,122.02	$1,548.82	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $3,019.95	Facility		$794.33	$1,202.26	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $3,467.37	Professional		$1,122.02	$1,548.82	$3,467.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,041.74	Professional		$933.25	$1,513.56	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,951.21	Professional		$1,202.26	$1,548.82	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $42,657.95 / $42,657.95	Facility		$9,332.54	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,511.89	Facility		$1,318.26	$1,698.24	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $3,467.37	Professional		$1,174.90	$1,659.59	$3,467.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,995.26	Professional		$1,174.90	$1,380.38	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,884.03	Professional		$1,000.00	$1,288.25	$2,884.03