Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,850.00 / $24,903.40 / $30,170.10	Facility		$2,850.00	$24,903.40	$30,170.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,850.00 / $3,873.00 / $24,903.40	Professional		$2,850.00	$3,873.00	$24,903.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $6,956.68 / $19,093.89	Facility		$614.00	$6,956.68	$19,093.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $3,086.74 / $7,707.27	Professional		$1,549.20	$3,086.74	$7,707.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,800.18 / $10,921.86	Facility		$92.60	$2,800.18	$10,921.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,555.83 / $2,222.62 / $5,587.44	Professional		$1,555.83	$2,222.62	$5,587.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,517.44 / $6,696.42 / $12,964.87	Facility		$2,517.44	$6,696.42	$12,964.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,857.78 / $2,776.48 / $10,616.65	Professional		$1,857.78	$2,776.48	$10,616.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,098.40 / $3,873.00 / $5,228.55	Professional		$3,098.40	$3,873.00	$5,228.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $4,453.95 / $7,700.00	Professional		$3,485.70	$4,453.95	$7,700.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,739.02 / $18,396.75 / $18,396.75	Facility		$6,739.02	$18,396.75	$18,396.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,365.00 / $19,365.00 / $29,047.50	Professional		$19,365.00	$19,365.00	$29,047.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,647.62 / $4,647.62 / $4,647.62	Professional		$4,647.62	$4,647.62	$4,647.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,850.00 / $4,647.60 / $11,129.65	Facility		$2,850.00	$4,647.60	$11,129.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,275.46 / $4,260.30 / $7,746.00	Professional		$2,275.46	$4,260.30	$7,746.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,594.23 / $13,594.23 / $13,594.23	Professional		$13,594.23	$13,594.23	$13,594.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,098.40 / $3,485.70 / $5,267.28	Professional		$3,098.40	$3,485.70	$5,267.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,472.16 / $1,762.22 / $11,991.97	Professional		$1,472.16	$1,762.22	$11,991.97