Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.23 / $1,604.23 / $8,905.17	Facility		$1,604.23	$1,604.23	$8,905.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.47 / $1,604.23 / $8,905.17	Professional		$1,312.47	$1,604.23	$8,905.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,218.21 / $4,454.97 / $9,797.32	Facility		$1,218.21	$4,454.97	$9,797.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,424.46 / $1,624.28 / $2,783.39	Professional		$1,424.46	$1,624.28	$2,783.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,654.10 / $6,525.17	Facility		$97.00	$3,654.10	$6,525.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,095.20 / $9,539.09	Professional		$100.00	$4,095.20	$9,539.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,443.60 / $2,373.71 / $2,515.62	Facility		$1,443.60	$2,373.71	$2,515.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,017.65 / $2,444.92	Professional		$2,017.65	$2,017.65	$2,444.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,469.16 / $3,086.45 / $3,703.74	Professional		$2,469.16	$3,086.45	$3,703.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,851.87 / $2,160.52 / $4,691.39	Professional		$1,851.87	$2,160.52	$4,691.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,075.57 / $14,660.64 / $14,660.64	Facility		$6,075.57	$14,660.64	$14,660.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,721.15 / $15,721.15 / $24,564.30	Professional		$15,721.15	$15,721.15	$24,564.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,930.09 / $5,930.09 / $5,930.09	Professional		$5,930.09	$5,930.09	$5,930.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $860.27 / $2,680.98 / $3,086.45	Facility		$860.27	$2,680.98	$3,086.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,373.71 / $2,803.94	Professional		$2,017.65	$2,373.71	$2,803.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,825.56 / $5,825.56 / $5,825.56	Professional		$5,825.56	$5,825.56	$5,825.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,254.32 / $1,463.67 / $3,003.89	Professional		$1,254.32	$1,463.67	$3,003.89