Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.45 / $1,161.45 / $6,862.86	Facility		$1,161.45	$1,161.45	$6,862.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.65 / $1,161.45 / $6,862.86	Professional		$846.65	$1,161.45	$6,862.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.98 / $3,433.29 / $7,550.42	Facility		$881.98	$3,433.29	$7,550.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.84 / $1,168.71 / $1,798.43	Professional		$968.84	$1,168.71	$1,798.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,816.06 / $5,028.68	Facility		$97.00	$2,816.06	$5,028.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,156.02 / $7,351.43	Professional		$100.00	$3,156.02	$7,351.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.52 / $1,226.77 / $1,271.46	Facility		$1,112.52	$1,226.77	$1,271.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $895.54 / $1,307.80	Professional		$895.54	$895.54	$1,307.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,271.46 / $1,525.75 / $2,616.46	Professional		$1,271.46	$1,525.75	$2,616.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,427.17 / $1,665.03 / $3,615.49	Professional		$1,427.17	$1,665.03	$3,615.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,925.61 / $11,298.40 / $11,298.40	Facility		$3,925.61	$11,298.40	$11,298.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,840.43 / $12,840.43 / $14,503.50	Professional		$12,840.43	$12,840.43	$14,503.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,964.29 / $3,964.29 / $3,964.29	Professional		$3,964.29	$3,964.29	$3,964.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.83 / $2,015.53 / $2,410.76	Facility		$622.83	$2,015.53	$2,410.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,226.77 / $2,021.82	Professional		$895.54	$1,226.77	$2,021.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,489.53 / $4,489.53 / $4,489.53	Professional		$4,489.53	$4,489.53	$4,489.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,271.46 / $1,902.89 / $1,907.19	Professional		$1,271.46	$1,902.89	$1,907.19
United Facility/Professional Professional Modifier Low / Median / High Price $918.05 / $981.66 / $2,235.01	Professional		$918.05	$981.66	$2,235.01