Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,623.41 / $10,000.00	Facility		$3,162.28	$5,623.41	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,122.02	Professional		$1,071.52	$1,096.48	$1,122.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,168.69 / $5,495.41	Facility		$100.00	$4,168.69	$5,495.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,466.84 / $7,585.78	Professional		$2,290.87	$4,466.84	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $3,467.37	Professional		$2,754.23	$2,884.03	$3,467.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,884.03	Professional		$954.99	$1,174.90	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,801.89	Professional		$1,445.44	$2,187.76	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $14,125.38 / $14,125.38	Professional		$13,803.84	$14,125.38	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,398.83 / $3,019.95	Facility		$575.44	$2,398.83	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $2,511.89	Professional		$1,862.09	$2,290.87	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,174.90 / $2,398.83	Facility		$147.91	$1,174.90	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $2,398.83	Professional		$831.76	$1,071.52	$2,398.83