Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.58 / $1,428.58 / $9,150.36	Facility		$1,428.58	$1,428.58	$9,150.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.67 / $1,428.58 / $9,150.36	Professional		$1,092.67	$1,428.58	$9,150.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,084.83 / $4,469.18 / $10,067.07	Facility		$1,084.83	$4,469.18	$10,067.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,471.00 / $1,556.88 / $2,816.63	Professional		$1,471.00	$1,556.88	$2,816.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,754.70 / $6,704.83	Facility		$97.00	$3,754.70	$6,704.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,207.96 / $9,801.76	Professional		$100.00	$4,207.96	$9,801.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,483.35 / $1,486.28 / $1,695.26	Facility		$1,483.35	$1,486.28	$1,695.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,084.98 / $1,584.44	Professional		$1,084.98	$1,084.98	$1,584.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.57 / $1,483.88 / $3,488.57	Professional		$1,236.57	$1,483.88	$3,488.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,902.86 / $2,220.00 / $4,820.57	Professional		$1,902.86	$2,220.00	$4,820.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,148.12 / $15,064.29 / $15,064.29	Facility		$6,148.12	$15,064.29	$15,064.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,222.86 / $15,222.86 / $17,839.34	Professional		$15,222.86	$15,222.86	$17,839.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,654.12 / $5,654.12 / $5,654.12	Professional		$5,654.12	$5,654.12	$5,654.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.08 / $2,695.72 / $3,171.43	Facility		$766.08	$2,695.72	$3,171.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,486.28 / $2,677.07	Professional		$1,084.98	$1,486.28	$2,677.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,985.96 / $5,985.96 / $5,985.96	Professional		$5,985.96	$5,985.96	$5,985.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,236.57 / $2,102.17 / $2,537.14	Professional		$1,236.57	$2,102.17	$2,537.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.21 / $1,375.99 / $3,068.67	Professional		$1,129.21	$1,375.99	$3,068.67