Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,008.64 / $2,008.64 / $10,542.60	Facility		$2,008.64	$2,008.64	$10,542.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.52 / $2,008.64 / $10,542.60	Professional		$1,596.52	$2,008.64	$10,542.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.31 / $5,543.74 / $11,598.86	Facility		$1,525.31	$5,543.74	$11,598.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,875.63 / $2,249.31 / $3,481.68	Professional		$1,875.63	$2,249.31	$3,481.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,325.97 / $7,724.94	Facility		$97.00	$4,325.97	$7,724.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,848.22 / $11,293.14	Professional		$100.00	$4,848.22	$11,293.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,709.04 / $2,264.80 / $2,264.80	Facility		$1,709.04	$2,264.80	$2,264.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $1,653.30 / $2,414.39	Professional		$1,653.30	$1,653.30	$2,414.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,923.19 / $3,653.99 / $4,384.79	Professional		$2,923.19	$3,653.99	$4,384.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,192.39 / $2,557.79 / $5,554.06	Professional		$2,192.39	$2,557.79	$5,554.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,289.48 / $17,433.41 / $17,433.41	Facility		$6,289.48	$17,433.41	$17,433.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,848.34 / $18,848.34 / $27,404.93	Professional		$18,848.34	$18,848.34	$27,404.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,077.14 / $3,199.56 / $3,763.68	Facility		$1,077.14	$3,199.56	$3,763.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $2,264.80 / $3,477.92	Professional		$1,653.30	$2,264.80	$3,477.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,896.75 / $6,896.75 / $6,896.75	Professional		$6,896.75	$6,896.75	$6,896.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,923.19 / $2,923.19 / $2,923.19	Professional		$2,923.19	$2,923.19	$2,923.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,570.53 / $1,822.93 / $3,852.16	Professional		$1,570.53	$1,822.93	$3,852.16