Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.00 / $1,254.00 / $6,829.90	Facility		$1,254.00	$1,254.00	$6,829.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.95 / $1,254.00 / $6,829.90	Professional		$1,043.95	$1,254.00	$6,829.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $952.26 / $3,460.99 / $7,514.14	Facility		$952.26	$3,460.99	$7,514.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,243.97 / $1,275.56 / $2,309.13	Professional		$1,243.97	$1,275.56	$2,309.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,802.52 / $5,004.50	Facility		$97.00	$2,802.52	$5,004.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,140.85 / $7,316.11	Professional		$100.00	$3,140.85	$7,316.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.18 / $1,606.19 / $1,606.19	Facility		$1,107.18	$1,606.19	$1,606.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,172.52 / $1,654.38	Professional		$1,172.52	$1,172.52	$1,654.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.34 / $1,518.42 / $2,603.90	Professional		$1,265.34	$1,518.42	$2,603.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,420.31 / $1,657.03 / $3,598.11	Professional		$1,420.31	$1,657.03	$3,598.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,040.37 / $11,244.11 / $11,244.11	Facility		$5,040.37	$11,244.11	$11,244.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,780.11 / $13,780.11 / $15,659.25	Professional		$13,780.11	$13,780.11	$15,659.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,706.91 / $5,706.91 / $5,706.91	Professional		$5,706.91	$5,706.91	$5,706.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.46 / $2,042.85 / $2,485.54	Facility		$672.46	$2,042.85	$2,485.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,606.19 / $2,220.58	Professional		$1,172.52	$1,606.19	$2,220.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,467.97 / $4,467.97 / $4,467.97	Professional		$4,467.97	$4,467.97	$4,467.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,265.34 / $1,893.74 / $1,898.03	Professional		$1,265.34	$1,893.74	$1,898.03
United Facility/Professional Professional Modifier Low / Median / High Price $980.48 / $1,170.43 / $2,303.86	Professional		$980.48	$1,170.43	$2,303.86