Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.40 / $1,253.80 / $6,392.23	Professional		$1,195.40	$1,253.80	$6,392.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,541.03 / $1,989.87 / $3,883.39	Professional		$1,541.03	$1,989.87	$3,883.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,419.62	Facility		$66.00	$100.00	$10,419.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $845.59 / $1,331.75 / $3,236.77	Professional		$845.59	$1,331.75	$3,236.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,799.35 / $5,671.95 / $13,362.63	Facility		$4,799.35	$5,671.95	$13,362.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.18 / $1,777.95 / $4,505.02	Professional		$1,163.18	$1,777.95	$4,505.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,476.01 / $1,992.61	Professional		$893.52	$1,476.01	$1,992.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,265.90 / $1,645.67 / $2,923.67	Professional		$1,265.90	$1,645.67	$2,923.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,855.84 / $21,548.35 / $26,542.00	Facility		$6,855.84	$21,548.35	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,972.48 / $9,287.68 / $10,449.45	Professional		$8,972.48	$9,287.68	$10,449.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,266.57 / $1,612.64 / $2,375.52	Facility		$1,266.57	$1,612.64	$2,375.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,171.43 / $1,783.16 / $4,137.09	Professional		$1,171.43	$1,783.16	$4,137.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,966.27 / $3,966.27 / $3,966.27	Professional		$3,966.27	$3,966.27	$3,966.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,341.31 / $1,690.20	Professional		$893.52	$1,341.31	$1,690.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,341.00 / $26,672.00	Facility		$5,835.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $969.64 / $1,450.51 / $4,036.67	Professional		$969.64	$1,450.51	$4,036.67