Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,591.62 / $2,591.62 / $13,602.40	Facility		$2,591.62	$2,591.62	$13,602.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,059.88 / $2,591.62 / $13,602.40	Professional		$2,059.88	$2,591.62	$13,602.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,968.01 / $7,152.73 / $14,965.17	Facility		$1,968.01	$7,152.73	$14,965.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,420.00 / $2,902.12 / $4,492.17	Professional		$2,420.00	$2,902.12	$4,492.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,581.51 / $9,966.99	Facility		$97.00	$5,581.51	$9,966.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,255.31 / $14,570.72	Professional		$100.00	$6,255.31	$14,570.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,205.06 / $2,886.72 / $2,886.72	Facility		$2,205.06	$2,886.72	$2,886.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,107.31 / $3,077.39	Professional		$2,107.31	$2,107.31	$3,077.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,520.06 / $3,024.07 / $5,185.93	Professional		$2,520.06	$3,024.07	$5,185.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,828.69 / $3,300.14 / $7,166.01	Professional		$2,828.69	$3,300.14	$7,166.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,114.89 / $22,493.11 / $22,493.11	Facility		$8,114.89	$22,493.11	$22,493.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,318.59 / $24,318.59 / $35,358.60	Professional		$24,318.59	$24,318.59	$35,358.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,389.75 / $4,128.16 / $4,856.02	Facility		$1,389.75	$4,128.16	$4,856.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $4,487.31	Professional		$2,107.31	$2,886.72	$4,487.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,898.40 / $8,898.40 / $8,898.40	Professional		$8,898.40	$8,898.40	$8,898.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,520.06 / $3,771.58 / $3,780.09	Professional		$2,520.06	$3,771.58	$3,780.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,890.35 / $5,753.36 / $5,753.36	Facility		$4,890.35	$5,753.36	$5,753.36
United Facility/Professional Professional Modifier Low / Median / High Price $2,006.28 / $2,352.00 / $4,771.42	Professional		$2,006.28	$2,352.00	$4,771.42