Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.93 / $1,011.93 / $5,311.29	Facility		$1,011.93	$1,011.93	$5,311.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.56 / $1,011.93 / $5,311.29	Professional		$809.56	$1,011.93	$5,311.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $768.44 / $2,792.90 / $5,843.44	Facility		$768.44	$2,792.90	$5,843.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.41 / $1,029.32 / $1,754.00	Professional		$850.41	$1,029.32	$1,754.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,179.39 / $3,891.77	Facility		$97.00	$2,179.39	$3,891.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,442.50 / $5,689.38	Professional		$100.00	$2,442.50	$5,689.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,462.39	Facility		$1,329.56	$1,329.56	$1,462.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $2,186.63	Professional		$970.58	$970.58	$2,186.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.72 / $1,328.06 / $2,024.95	Professional		$1,106.72	$1,328.06	$2,024.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,104.52 / $1,288.59 / $2,798.11	Professional		$1,104.52	$1,288.59	$2,798.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,168.51 / $8,782.71 / $8,782.71	Facility		$3,168.51	$8,782.71	$8,782.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,495.57 / $9,495.57 / $13,806.45	Professional		$9,495.57	$9,495.57	$13,806.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,886.92 / $3,886.92 / $3,886.92	Professional		$3,886.92	$3,886.92	$3,886.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.78 / $1,752.15 / $1,896.06	Facility		$569.78	$1,752.15	$1,896.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $1,797.71	Professional		$970.58	$970.58	$1,797.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,474.53 / $3,474.53 / $3,474.53	Professional		$3,474.53	$3,474.53	$3,474.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,106.72 / $1,472.69 / $1,656.77	Professional		$1,106.72	$1,472.69	$1,656.77
United Facility/Professional Professional Modifier Low / Median / High Price $799.87 / $918.38 / $1,840.86	Professional		$799.87	$918.38	$1,840.86