Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,570.88 / $7,762.47	Facility		$1,380.38	$4,570.88	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,479.11	Professional		$741.31	$1,047.13	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,623.41 / $5,623.41	Facility		$4,365.16	$5,623.41	$5,623.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $1,548.82	Professional		$338.84	$457.09	$1,548.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $2,630.27 / $10,715.19	Facility		$69.18	$2,630.27	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,884.03	Professional		$1,023.29	$1,318.26	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,290.87 / $5,888.44	Facility		$891.25	$2,290.87	$5,888.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,344.23	Professional		$1,737.80	$2,089.30	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,019.95	Professional		$1,584.89	$1,905.46	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $13,182.57 / $13,182.57	Professional		$8,709.64	$13,182.57	$13,182.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $4,570.88	Facility		$1,096.48	$2,089.30	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $2,511.89	Professional		$1,737.80	$1,905.46	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,737.80 / $1,737.80	Facility		$724.44	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $2,238.72	Professional		$467.74	$512.86	$2,238.72