Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $19,054.61	Facility		$1,995.26	$1,995.26	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $16,982.44	Professional		$1,479.11	$1,995.26	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $8,709.64	Facility		$1,513.56	$1,905.46	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,897.79	Professional		$2,041.74	$2,041.74	$4,897.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $7,762.47 / $10,471.29	Facility		$100.00	$7,762.47	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,317.64 / $14,125.38	Professional		$4,265.80	$8,317.64	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $2,630.27	Facility		$2,089.30	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,630.27	Professional		$1,905.46	$1,905.46	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $5,370.32	Professional		$1,621.81	$2,041.74	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,073.80 / $7,079.46	Professional		$2,511.89	$4,073.80	$7,079.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Facility		$20,892.96	$20,892.96	$20,892.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $33,113.11 / $33,113.11	Professional		$21,379.62	$33,113.11	$33,113.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,890.45 / $5,370.32	Facility		$1,380.38	$3,890.45	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,168.69	Professional		$1,905.46	$1,905.46	$4,168.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $4,073.80	Professional		$1,621.81	$2,398.83	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,187.76 / $4,466.84	Facility		$275.42	$2,187.76	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $4,466.84	Professional		$1,548.82	$1,995.26	$4,466.84