Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.07 / $1,250.07 / $6,561.18	Facility		$1,250.07	$1,250.07	$6,561.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.59 / $1,250.07 / $6,561.18	Professional		$993.59	$1,250.07	$6,561.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.28 / $3,450.16 / $7,218.55	Facility		$949.28	$3,450.16	$7,218.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.59 / $1,250.07 / $2,166.82	Professional		$1,136.59	$1,250.07	$2,166.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,692.26 / $4,807.60	Facility		$97.00	$2,692.26	$4,807.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,017.29 / $7,028.25	Professional		$100.00	$3,017.29	$7,028.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,063.61 / $1,300.55 / $1,300.55	Facility		$1,063.61	$1,300.55	$1,300.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $2,701.13	Professional		$949.40	$949.40	$2,701.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.03 / $1,172.44 / $2,501.46	Professional		$977.03	$1,172.44	$2,501.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,364.44 / $1,591.84 / $3,456.57	Professional		$1,364.44	$1,591.84	$3,456.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,914.25 / $10,889.80 / $10,889.80	Facility		$3,914.25	$10,889.80	$10,889.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,730.04 / $11,730.04 / $17,055.45	Professional		$11,730.04	$11,730.04	$17,055.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,801.75 / $4,801.75 / $4,801.75	Professional		$4,801.75	$4,801.75	$4,801.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.35 / $1,975.29 / $2,342.32	Facility		$670.35	$1,975.29	$2,342.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $2,220.76	Professional		$949.40	$949.40	$2,220.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,292.18 / $4,292.18 / $4,292.18	Professional		$4,292.18	$4,292.18	$4,292.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.03 / $1,660.95 / $1,819.25	Professional		$977.03	$1,660.95	$1,819.25
United Facility/Professional Professional Modifier Low / Median / High Price $942.83 / $1,038.36 / $2,172.61	Professional		$942.83	$1,038.36	$2,172.61