Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.74 / $1,304.74 / $8,351.67	Facility		$1,304.74	$1,304.74	$8,351.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.82 / $1,304.74 / $8,351.67	Professional		$971.82	$1,304.74	$8,351.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.79 / $4,079.07 / $9,188.33	Facility		$990.79	$4,079.07	$9,188.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.58 / $1,317.91 / $2,300.21	Professional		$1,206.58	$1,317.91	$2,300.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,426.98 / $6,119.60	Facility		$97.00	$3,426.98	$6,119.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,840.65 / $8,946.18	Professional		$100.00	$3,840.65	$8,946.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,353.87 / $1,599.98 / $1,599.98	Facility		$1,353.87	$1,599.98	$1,599.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $1,705.66	Professional		$1,167.99	$1,167.99	$1,705.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.00 / $1,278.00 / $3,184.06	Professional		$1,065.00	$1,278.00	$3,184.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,736.76 / $2,026.22 / $4,399.79	Professional		$1,736.76	$2,026.22	$4,399.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,020.89 / $13,749.35 / $13,749.35	Facility		$5,020.89	$13,749.35	$13,749.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,894.08 / $13,894.08 / $16,292.93	Professional		$13,894.08	$13,894.08	$16,292.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,237.75 / $5,237.75 / $5,237.75	Professional		$5,237.75	$5,237.75	$5,237.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.67 / $2,460.41 / $2,894.60	Facility		$699.67	$2,460.41	$2,894.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,599.98 / $2,527.63	Professional		$1,167.99	$1,599.98	$2,527.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,463.48 / $5,463.48 / $5,463.48	Professional		$5,463.48	$5,463.48	$5,463.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,065.00 / $1,810.50 / $2,315.67	Professional		$1,065.00	$1,810.50	$2,315.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.16 / $1,272.88 / $2,894.60	Professional		$1,020.16	$1,272.88	$2,894.60