Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,859.85 / $2,859.85 / $16,049.10	Facility		$2,859.85	$2,859.85	$16,049.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,055.96 / $2,859.85 / $16,049.10	Professional		$2,055.96	$2,859.85	$16,049.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,434.82 / $8,527.29 / $17,657.00	Facility		$2,434.82	$8,527.29	$17,657.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,246.42 / $3,443.26 / $4,988.82	Professional		$3,246.42	$3,443.26	$4,988.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $6,805.14 / $12,152.03	Facility		$97.00	$6,805.14	$12,152.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $7,380.48 / $17,191.62	Professional		$100.00	$7,380.48	$17,191.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $4,145.50	Facility		$3,323.97	$3,323.97	$4,145.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $2,426.50 / $3,423.69	Professional		$2,426.50	$2,426.50	$3,423.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,449.99 / $5,562.49 / $6,674.99	Professional		$4,449.99	$5,562.49	$6,674.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,337.49 / $3,893.74 / $8,454.98	Professional		$3,337.49	$3,893.74	$8,454.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,660.00 / $25,033.69 / $26,421.83	Facility		$10,660.00	$25,033.69	$26,421.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,469.96 / $28,469.96 / $35,433.15	Professional		$28,469.96	$28,469.96	$35,433.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,224.87 / $9,224.87 / $9,224.87	Professional		$9,224.87	$9,224.87	$9,224.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,295.85 / $5,077.68 / $5,958.01	Facility		$3,295.85	$5,077.68	$5,958.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $3,323.97 / $4,988.97	Professional		$2,426.50	$3,323.97	$4,988.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,498.99 / $10,498.99 / $10,498.99	Professional		$10,498.99	$10,498.99	$10,498.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,449.99 / $4,449.99 / $4,449.99	Professional		$4,449.99	$4,449.99	$4,449.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,144.89 / $2,775.07 / $5,864.18	Professional		$2,144.89	$2,775.07	$5,864.18