Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,908.56 / $1,908.56 / $11,213.00	Facility		$1,908.56	$1,908.56	$11,213.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,491.67 / $1,908.56 / $11,213.00	Professional		$1,491.67	$1,908.56	$11,213.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,449.32 / $5,609.53 / $12,336.38	Facility		$1,449.32	$5,609.53	$12,336.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,917.69 / $1,932.42 / $3,559.78	Professional		$1,917.69	$1,932.42	$3,559.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,601.06 / $8,216.17	Facility		$97.00	$4,601.06	$8,216.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,156.49 / $12,011.20	Professional		$100.00	$5,156.49	$12,011.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,817.71 / $2,476.09 / $2,476.09	Facility		$1,817.71	$2,476.09	$2,476.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $1,807.55 / $2,550.37	Professional		$1,807.55	$1,807.55	$2,550.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.03 / $1,785.64 / $4,274.96	Professional		$1,488.03	$1,785.64	$4,274.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,331.80 / $2,720.43 / $5,907.22	Professional		$2,331.80	$2,720.43	$5,907.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,770.27 / $18,460.07 / $18,460.07	Facility		$7,770.27	$18,460.07	$18,460.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,260.05 / $19,260.05 / $25,997.63	Professional		$19,260.05	$19,260.05	$25,997.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,984.47 / $6,984.47 / $6,984.47	Professional		$6,984.47	$6,984.47	$6,984.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.47 / $3,403.69 / $3,886.33	Facility		$1,023.47	$3,403.69	$3,886.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $2,476.09 / $3,703.44	Professional		$1,807.55	$2,476.09	$3,703.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,335.30 / $7,335.30 / $7,335.30	Professional		$7,335.30	$7,335.30	$7,335.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,488.03 / $2,529.65 / $3,109.06	Professional		$1,488.03	$2,529.65	$3,109.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,492.28 / $1,808.05 / $3,697.70	Professional		$1,492.28	$1,808.05	$3,697.70