Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,670.43 / $3,670.43 / $23,509.80	Facility		$3,670.43	$3,670.43	$23,509.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,066.61 / $3,670.43 / $23,509.80	Professional		$3,066.61	$3,670.43	$23,509.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,787.23 / $11,482.60 / $25,865.18	Facility		$2,787.23	$11,482.60	$25,865.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,662.49 / $3,670.43 / $6,798.60	Professional		$3,662.49	$3,670.43	$6,798.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $9,646.87 / $17,226.55	Facility		$97.00	$9,646.87	$17,226.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $10,811.43 / $25,183.44	Professional		$100.00	$10,811.43	$25,183.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,811.13 / $4,728.96 / $4,728.96	Facility		$3,811.13	$4,728.96	$4,728.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $3,452.14 / $4,870.83	Professional		$3,452.14	$3,452.14	$4,870.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,293.96 / $2,752.75 / $8,963.14	Professional		$2,293.96	$2,752.75	$8,963.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,888.99 / $5,703.82 / $12,385.43	Professional		$4,888.99	$5,703.82	$12,385.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,839.95 / $34,402.54 / $38,704.47	Facility		$14,839.95	$34,402.54	$38,704.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $52,107.80 / $53,358.39 / $53,358.39	Professional		$52,107.80	$53,358.39	$53,358.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $14,358.81 / $14,358.81 / $14,358.81	Professional		$14,358.81	$14,358.81	$14,358.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,968.27 / $7,042.03 / $8,266.73	Facility		$1,968.27	$7,042.03	$8,266.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $4,728.96 / $7,755.69	Professional		$3,452.14	$4,728.96	$7,755.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,379.63 / $15,379.63 / $15,379.63	Professional		$15,379.63	$15,379.63	$15,379.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,293.96 / $3,899.73 / $6,518.65	Professional		$2,293.96	$3,899.73	$6,518.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,926.06 / $8,148.31 / $8,148.31	Facility		$6,926.06	$8,148.31	$8,148.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,869.85 / $3,499.15 / $7,260.95	Professional		$2,869.85	$3,499.15	$7,260.95