Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.75 / $9,639.00 / $20,509.00	Facility		$1,067.75	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.95 / $1,067.75 / $6,258.07	Professional		$912.95	$1,067.75	$6,258.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $11,059.00 / $24,104.86	Facility		$4,437.00	$11,059.00	$24,104.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,217.59 / $1,654.99 / $3,399.48	Professional		$1,217.59	$1,654.99	$3,399.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $664.70 / $1,008.10 / $2,529.42	Professional		$664.70	$1,008.10	$2,529.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.29 / $1,502.78 / $4,090.34	Professional		$1,102.29	$1,502.78	$4,090.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $909.53 / $1,358.94 / $1,630.73	Professional		$909.53	$1,358.94	$1,630.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,223.05 / $1,562.88 / $2,782.36	Professional		$1,223.05	$1,562.88	$2,782.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $15,983.10 / $19,836.04	Facility		$5,897.00	$15,983.10	$19,836.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,672.40 / $8,869.76 / $10,569.98	Professional		$8,672.40	$8,869.76	$10,569.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.50 / $1,517.65 / $2,174.30	Facility		$1,202.50	$1,517.65	$2,174.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,102.29 / $1,551.25 / $3,416.71	Professional		$1,102.29	$1,551.25	$3,416.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,883.01 / $3,883.01 / $3,883.01	Professional		$3,883.01	$3,883.01	$3,883.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $909.53 / $1,273.33 / $1,546.20	Professional		$909.53	$1,273.33	$1,546.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.43 / $1,403.59 / $4,036.28	Professional		$947.43	$1,403.59	$4,036.28