Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.55 / $1,117.55 / $5,864.13	Facility		$1,117.55	$1,117.55	$5,864.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.85 / $1,117.55 / $5,864.13	Professional		$893.85	$1,117.55	$5,864.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.03 / $2,642.20 / $6,451.64	Facility		$170.03	$2,642.20	$6,451.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.28 / $1,702.59 / $1,936.61	Professional		$1,043.28	$1,702.59	$1,936.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,406.25 / $4,296.88	Facility		$97.00	$2,406.25	$4,296.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,696.72 / $6,281.58	Professional		$100.00	$2,696.72	$6,281.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,614.61	Facility		$1,162.68	$1,162.68	$1,614.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $988.28 / $1,197.56	Professional		$988.28	$988.28	$1,197.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.97 / $2,032.46 / $2,438.94	Professional		$1,625.97	$2,032.46	$2,438.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.48 / $1,422.72 / $3,089.34	Professional		$1,219.48	$1,422.72	$3,089.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,498.40 / $9,699.25 / $9,699.25	Facility		$3,498.40	$9,699.25	$9,699.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,504.91 / $10,504.91 / $15,243.45	Professional		$10,504.91	$10,504.91	$15,243.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,291.67 / $4,291.67 / $4,291.67	Professional		$4,291.67	$4,291.67	$4,291.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $1,829.21 / $2,093.50	Facility		$599.29	$1,829.21	$2,093.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,162.68 / $1,934.52	Professional		$988.28	$1,162.68	$1,934.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,836.18 / $3,836.18 / $3,836.18	Professional		$3,836.18	$3,836.18	$3,836.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,625.97 / $1,625.97 / $1,625.97	Professional		$1,625.97	$1,625.97	$1,625.97
United Facility/Professional Professional Modifier Low / Median / High Price $865.15 / $1,004.93 / $1,966.59	Professional		$865.15	$1,004.93	$1,966.59