Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.67 / $1,324.67 / $6,797.73	Facility		$1,324.67	$1,324.67	$6,797.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.80 / $1,324.67 / $6,797.73	Professional		$1,066.80	$1,324.67	$6,797.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,005.92 / $3,611.81 / $7,478.78	Facility		$1,005.92	$3,611.81	$7,478.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,194.00 / $1,327.04 / $2,276.31	Professional		$1,194.00	$1,327.04	$2,276.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,789.34 / $4,980.97	Facility		$97.00	$2,789.34	$4,980.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,126.06 / $7,281.65	Professional		$100.00	$3,126.06	$7,281.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $2,015.11	Facility		$1,618.14	$1,618.14	$2,015.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,181.24 / $1,725.02	Professional		$1,181.24	$1,181.24	$1,725.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,259.40 / $1,511.28 / $2,591.64	Professional		$1,259.40	$1,511.28	$2,591.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,413.62 / $1,649.23 / $3,581.18	Professional		$1,413.62	$1,649.23	$3,581.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,112.04 / $11,530.40 / $11,530.40	Facility		$4,112.04	$11,530.40	$11,530.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,624.95 / $12,624.95 / $18,385.73	Professional		$12,624.95	$12,624.95	$18,385.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,214.50 / $5,214.50 / $5,214.50	Professional		$5,214.50	$5,214.50	$5,214.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.36 / $2,134.52 / $2,473.84	Facility		$710.36	$2,134.52	$2,473.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,618.14 / $2,269.82	Professional		$1,181.24	$1,618.14	$2,269.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,446.93 / $4,446.93 / $4,446.93	Professional		$4,446.93	$4,446.93	$4,446.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,259.40 / $1,884.83 / $1,889.10	Professional		$1,259.40	$1,884.83	$1,889.10
United Facility/Professional Professional Modifier Low / Median / High Price $999.10 / $1,102.13 / $2,324.09	Professional		$999.10	$1,102.13	$2,324.09