Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.50 / $1,700.50 / $10,833.10	Facility		$1,700.50	$1,700.50	$10,833.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.68 / $1,700.50 / $10,833.10	Professional		$1,289.68	$1,700.50	$10,833.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,291.31 / $5,291.05 / $11,918.39	Facility		$1,291.31	$5,291.05	$11,918.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,700.80 / $1,806.78 / $3,157.17	Professional		$1,700.80	$1,806.78	$3,157.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,445.14 / $7,937.76	Facility		$97.00	$4,445.14	$7,937.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,981.78 / $11,604.22	Professional		$100.00	$4,981.78	$11,604.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,756.12 / $1,769.18 / $2,006.99	Facility		$1,756.12	$1,769.18	$2,006.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,291.50 / $1,886.03	Professional		$1,291.50	$1,291.50	$1,886.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,254.54 / $1,505.45 / $4,130.12	Professional		$1,254.54	$1,505.45	$4,130.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,252.79 / $2,628.26 / $5,707.07	Professional		$2,252.79	$2,628.26	$5,707.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,891.46 / $17,834.59 / $17,834.59	Facility		$6,891.46	$17,834.59	$17,834.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,022.32 / $18,022.32 / $23,339.85	Professional		$18,022.32	$18,022.32	$23,339.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,944.45 / $6,944.45 / $6,944.45	Professional		$6,944.45	$6,944.45	$6,944.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.89 / $3,226.37 / $3,754.65	Facility		$911.89	$3,226.37	$3,754.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.17 / $3,052.73	Professional		$1,291.50	$1,769.17	$3,052.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,086.75 / $7,086.75 / $7,086.75	Professional		$7,086.75	$7,086.75	$7,086.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,254.54 / $2,132.71 / $3,003.72	Professional		$1,254.54	$2,132.71	$3,003.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,329.59 / $1,437.28 / $3,411.63	Professional		$1,329.59	$1,437.28	$3,411.63