Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $37,153.52	Facility		$4,570.88	$4,570.88	$37,153.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $33,113.11	Professional		$3,630.78	$4,570.88	$33,113.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,165.95 / $20,417.38	Facility		$4,786.30	$6,165.95	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $6,456.54 / $10,232.93	Professional		$5,888.44	$6,456.54	$10,232.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $15,135.61 / $20,417.38	Facility		$100.00	$15,135.61	$20,417.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $16,218.10 / $27,542.29	Professional		$8,317.64	$16,218.10	$27,542.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,786.30	Professional		$4,073.80	$4,073.80	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,456.54 / $10,471.29	Professional		$5,248.07	$6,456.54	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,943.28 / $13,803.84	Professional		$4,897.79	$7,943.28	$13,803.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $40,738.03	Facility		$40,738.03	$40,738.03	$40,738.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42,657.95 / $63,095.73 / $63,095.73	Professional		$42,657.95	$63,095.73	$63,095.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,709.64 / $11,220.18	Facility		$2,570.40	$8,709.64	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $7,943.28	Professional		$4,073.80	$4,073.80	$7,943.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $16,218.10	Professional		$16,218.10	$16,218.10	$16,218.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,079.46 / $8,912.51	Professional		$5,248.07	$7,079.46	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $5,011.87 / $10,232.93	Facility		$630.96	$5,011.87	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $8,709.64	Professional		$3,548.13	$4,570.88	$8,709.64