Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.42 / $1,374.42 / $7,307.33	Facility		$1,374.42	$1,374.42	$7,307.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.50 / $1,374.42 / $7,307.33	Professional		$1,014.50	$1,374.42	$7,307.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,043.70 / $3,793.33 / $8,039.42	Facility		$1,043.70	$3,793.33	$8,039.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.99 / $1,398.04 / $2,537.01	Professional		$1,289.99	$1,398.04	$2,537.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,998.44 / $5,354.36	Facility		$97.00	$2,998.44	$5,354.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,360.40 / $7,827.52	Professional		$100.00	$3,360.40	$7,827.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.58 / $1,665.63 / $1,665.63	Facility		$1,184.58	$1,665.63	$1,665.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,215.91 / $1,715.60	Professional		$1,215.91	$1,215.91	$1,715.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.63 / $1,321.96 / $2,785.93	Professional		$1,101.63	$1,321.96	$2,785.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,519.60 / $1,772.86 / $3,849.64	Professional		$1,519.60	$1,772.86	$3,849.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,767.49 / $12,133.56 / $12,133.56	Facility		$4,767.49	$12,133.56	$12,133.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,645.71 / $14,645.71 / $22,883.93	Professional		$14,645.71	$14,645.71	$22,883.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,750.17 / $4,750.17 / $4,750.17	Professional		$4,750.17	$4,750.17	$4,750.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $737.03 / $2,239.10 / $2,566.90	Facility		$737.03	$2,239.10	$2,566.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,665.63 / $2,356.12	Professional		$1,215.91	$1,665.63	$2,356.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,780.30 / $4,780.30 / $4,780.30	Professional		$4,780.30	$4,780.30	$4,780.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,101.63 / $1,872.77 / $2,026.13	Professional		$1,101.63	$1,872.77	$2,026.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.64 / $1,263.52 / $2,532.66	Professional		$1,074.64	$1,263.52	$2,532.66