Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,367.95 / $1,367.95 / $8,762.03	Facility		$1,367.95	$1,367.95	$8,762.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.92 / $1,367.95 / $8,762.03	Professional		$1,072.92	$1,367.95	$8,762.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.79 / $4,279.51 / $9,639.84	Facility		$1,038.79	$4,279.51	$9,639.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,387.19 / $2,230.69	Professional		$1,170.00	$1,387.19	$2,230.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,595.35 / $6,420.26	Facility		$97.00	$3,595.35	$6,420.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,029.37 / $9,385.77	Professional		$100.00	$4,029.37	$9,385.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,420.39 / $1,703.99 / $1,703.99	Facility		$1,420.39	$1,703.99	$1,703.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,243.91 / $1,755.11	Professional		$1,243.91	$1,243.91	$1,755.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $917.54 / $1,101.05 / $3,340.52	Professional		$917.54	$1,101.05	$3,340.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,822.10 / $2,125.79 / $4,616.00	Professional		$1,822.10	$2,125.79	$4,616.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,357.34 / $14,424.99 / $14,424.99	Facility		$4,357.34	$14,424.99	$14,424.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,576.83 / $14,576.83 / $17,082.23	Professional		$14,576.83	$14,576.83	$17,082.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,739.35 / $4,739.35 / $4,739.35	Professional		$4,739.35	$4,739.35	$4,739.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.56 / $2,434.96 / $3,036.84	Facility		$733.56	$2,434.96	$3,036.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $2,283.02	Professional		$1,243.91	$1,703.99	$2,283.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,731.93 / $5,731.93 / $5,731.93	Professional		$5,731.93	$5,731.93	$5,731.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $917.54 / $1,559.82 / $2,429.46	Professional		$917.54	$1,559.82	$2,429.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.73 / $1,136.29 / $2,738.20	Professional		$1,031.73	$1,136.29	$2,738.20