Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,205.32 / $3,205.32 / $20,530.70	Facility		$3,205.32	$3,205.32	$20,530.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,339.32 / $3,205.32 / $20,530.70	Professional		$2,339.32	$3,205.32	$20,530.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,434.04 / $10,027.56 / $22,587.62	Facility		$2,434.04	$10,027.56	$22,587.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,153.97 / $3,205.32 / $5,854.65	Professional		$3,153.97	$3,205.32	$5,854.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $8,424.43 / $15,043.63	Facility		$97.00	$8,424.43	$15,043.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $9,441.44 / $21,992.25	Professional		$100.00	$9,441.44	$21,992.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,328.19 / $4,072.36 / $4,072.36	Facility		$3,328.19	$4,072.36	$4,072.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $2,972.82 / $4,194.53	Professional		$2,972.82	$2,972.82	$4,194.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,430.00 / $4,116.00 / $7,827.36	Professional		$3,430.00	$4,116.00	$7,827.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,269.47 / $4,981.05 / $10,815.99	Professional		$4,269.47	$4,981.05	$10,815.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,779.50 / $28,628.31 / $33,799.96	Facility		$12,779.50	$28,628.31	$33,799.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $40,587.48 / $41,561.60 / $44,265.60	Professional		$40,587.48	$41,561.60	$44,265.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,940.50 / $10,940.50 / $10,940.50	Professional		$10,940.50	$10,940.50	$10,940.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,718.86 / $6,048.41 / $7,219.19	Facility		$1,718.86	$6,048.41	$7,219.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,972.82 / $4,072.36 / $6,500.14	Professional		$2,972.82	$4,072.36	$6,500.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,430.77 / $13,430.77 / $13,430.77	Professional		$13,430.77	$13,430.77	$13,430.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,430.00 / $5,692.62 / $5,692.62	Professional		$3,430.00	$5,692.62	$5,692.62
United Facility/Professional Professional Modifier Low / Median / High Price $2,506.19 / $2,944.49 / $6,753.25	Professional		$2,506.19	$2,944.49	$6,753.25