Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,405.52 / $2,405.52 / $12,625.70	Facility		$2,405.52	$2,405.52	$12,625.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,911.96 / $2,405.52 / $12,625.70	Professional		$1,911.96	$2,405.52	$12,625.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,826.69 / $6,639.10 / $13,890.64	Facility		$1,826.69	$6,639.10	$13,890.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,246.23 / $2,693.73 / $4,169.60	Professional		$2,246.23	$2,693.73	$4,169.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,180.78 / $9,251.37	Facility		$97.00	$5,180.78	$9,251.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,806.18 / $13,524.53	Professional		$100.00	$5,806.18	$13,524.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,046.74 / $2,502.67 / $2,502.67	Facility		$2,046.74	$2,502.67	$2,502.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $1,826.95 / $2,667.97	Professional		$1,826.95	$1,826.95	$2,667.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.66 / $1,947.19 / $4,813.57	Professional		$1,622.66	$1,947.19	$4,813.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,625.58 / $3,063.18 / $6,651.47	Professional		$2,625.58	$3,063.18	$6,651.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,532.20 / $20,912.72 / $20,912.72	Facility		$7,532.20	$20,912.72	$20,912.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,572.40 / $22,572.40 / $32,819.33	Professional		$22,572.40	$22,572.40	$32,819.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,239.98 / $9,239.98 / $9,239.98	Professional		$9,239.98	$9,239.98	$9,239.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,289.96 / $3,801.08 / $4,507.31	Facility		$1,289.96	$3,801.08	$4,507.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,826.95 / $2,502.67 / $4,165.12	Professional		$1,826.95	$2,502.67	$4,165.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,259.48 / $8,259.48 / $8,259.48	Professional		$8,259.48	$8,259.48	$8,259.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,622.66 / $2,758.52 / $3,500.78	Professional		$1,622.66	$2,758.52	$3,500.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,880.84 / $2,266.58 / $5,198.67	Professional		$1,880.84	$2,266.58	$5,198.67