Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.01 / $10,004.00 / $20,509.00	Facility		$1,868.01	$10,004.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,549.62 / $1,815.54 / $9,238.40	Professional		$1,549.62	$1,815.54	$9,238.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $9,240.00 / $18,708.00	Facility		$2,883.00	$9,240.00	$18,708.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,136.67 / $2,764.27 / $5,296.48	Professional		$2,136.67	$2,764.27	$5,296.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,013.65	Facility		$66.00	$100.00	$20,013.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,644.67 / $2,349.53 / $5,058.30	Professional		$1,644.67	$2,349.53	$5,058.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,646.28 / $1,649.19 / $2,948.55	Facility		$1,646.28	$1,649.19	$2,948.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.64 / $2,529.34 / $5,030.08	Professional		$1,816.64	$2,529.34	$5,030.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,908.78 / $2,004.63 / $2,706.25	Professional		$1,908.78	$2,004.63	$2,706.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,635.62 / $2,254.17 / $4,072.84	Professional		$1,635.62	$2,254.17	$4,072.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,128.52 / $14,429.87	Facility		$55.00	$14,128.52	$14,429.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,814.83 / $16,814.83 / $16,822.84	Professional		$16,814.83	$16,814.83	$16,822.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,851.29 / $2,342.90 / $3,420.72	Facility		$1,851.29	$2,342.90	$3,420.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,869.03 / $2,658.26 / $4,769.95	Professional		$1,869.03	$2,658.26	$4,769.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,732.25 / $5,732.25 / $5,732.25	Professional		$5,732.25	$5,732.25	$5,732.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,802.23 / $2,223.90 / $3,610.69	Professional		$1,802.23	$2,223.90	$3,610.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,423.91 / $1,947.11 / $3,903.03	Professional		$1,423.91	$1,947.11	$3,903.03