Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.75 / $1,275.75 / $7,308.86	Facility		$1,275.75	$1,275.75	$7,308.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.62 / $1,275.75 / $7,308.86	Professional		$1,002.62	$1,275.75	$7,308.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $968.78 / $3,656.41 / $8,041.11	Facility		$968.78	$3,656.41	$8,041.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.74 / $1,271.10 / $2,292.90	Professional		$1,202.74	$1,271.10	$2,292.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,999.07 / $5,355.49	Facility		$97.00	$2,999.07	$5,355.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,361.12 / $7,829.15	Professional		$100.00	$3,361.12	$7,829.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.83 / $1,327.28 / $1,354.09	Facility		$1,184.83	$1,327.28	$1,354.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $968.91 / $1,414.94	Professional		$968.91	$968.91	$1,414.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,354.09 / $1,624.91 / $2,786.51	Professional		$1,354.09	$1,624.91	$2,786.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,519.91 / $1,773.23 / $3,850.45	Professional		$1,519.91	$1,773.23	$3,850.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,004.92 / $12,032.65 / $12,032.65	Facility		$5,004.92	$12,032.65	$12,032.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,159.31 / $12,159.31 / $17,099.78	Professional		$12,159.31	$12,159.31	$17,099.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,428.82 / $4,428.82 / $4,428.82	Professional		$4,428.82	$4,428.82	$4,428.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $684.12 / $2,160.40 / $2,533.19	Facility		$684.12	$2,160.40	$2,533.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,327.28 / $2,138.83	Professional		$968.91	$1,327.28	$2,138.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,781.30 / $4,781.30 / $4,781.30	Professional		$4,781.30	$4,781.30	$4,781.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,354.09 / $2,026.55 / $2,031.14	Professional		$1,354.09	$2,026.55	$2,031.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,407.34 / $2,832.16 / $2,832.16	Facility		$2,407.34	$2,832.16	$2,832.16
United Facility/Professional Professional Modifier Low / Median / High Price $979.78 / $1,059.70 / $2,533.19	Professional		$979.78	$1,059.70	$2,533.19