Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,991.05 / $1,991.05 / $12,753.10	Facility		$1,991.05	$1,991.05	$12,753.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.01 / $1,991.05 / $12,753.10	Professional		$1,483.01	$1,991.05	$12,753.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,511.96 / $6,228.82 / $14,030.76	Facility		$1,511.96	$6,228.82	$14,030.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,015.94 / $2,025.27 / $3,792.18	Professional		$2,015.94	$2,025.27	$3,792.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,233.00 / $9,344.64	Facility		$97.00	$5,233.00	$9,344.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,864.73 / $13,660.94	Professional		$100.00	$5,864.73	$13,660.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,067.37 / $2,637.76 / $2,637.76	Facility		$2,067.37	$2,637.76	$2,637.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $1,925.56 / $2,716.89	Professional		$1,925.56	$1,925.56	$2,716.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.81 / $1,940.17 / $4,862.12	Professional		$1,616.81	$1,940.17	$4,862.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,652.07 / $3,094.08 / $6,718.57	Professional		$2,652.07	$3,094.08	$6,718.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,277.54 / $20,995.52 / $20,995.52	Facility		$8,277.54	$20,995.52	$20,995.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,251.69 / $21,251.69 / $33,150.83	Professional		$21,251.69	$21,251.69	$33,150.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,042.62 / $8,042.62 / $8,042.62	Professional		$8,042.62	$8,042.62	$8,042.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,067.70 / $3,759.34 / $4,420.10	Facility		$1,067.70	$3,759.34	$4,420.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $2,637.76 / $4,086.40	Professional		$1,925.56	$2,637.76	$4,086.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,342.79 / $8,342.79 / $8,342.79	Professional		$8,342.79	$8,342.79	$8,342.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,616.81 / $2,748.58 / $3,536.09	Professional		$1,616.81	$2,748.58	$3,536.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,573.81 / $1,993.04 / $4,862.12	Professional		$1,573.81	$1,993.04	$4,862.12