Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.26 / $9,639.00 / $20,509.00	Facility		$1,272.26	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.26 / $1,309.86 / $7,011.29	Professional		$1,089.26	$1,309.86	$7,011.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $11,827.46 / $23,587.93	Facility		$4,734.00	$11,827.46	$23,587.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,632.08 / $2,139.12 / $4,112.85	Professional		$1,632.08	$2,139.12	$4,112.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,003.44 / $1,548.47 / $3,771.98	Professional		$1,003.44	$1,548.47	$3,771.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.64 / $1,729.12 / $5,079.00	Professional		$1,330.64	$1,729.12	$5,079.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.08 / $1,445.98 / $1,808.52	Professional		$1,195.08	$1,445.98	$1,808.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,308.97 / $1,686.75 / $3,058.01	Professional		$1,308.97	$1,686.75	$3,058.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,044.12 / $29,760.08	Facility		$55.00	$24,044.12	$29,760.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,848.32 / $9,848.32 / $11,682.08	Professional		$9,848.32	$9,848.32	$11,682.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,371.38 / $1,770.14 / $2,422.50	Facility		$1,371.38	$1,770.14	$2,422.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,332.01 / $1,741.09 / $3,808.54	Professional		$1,332.01	$1,741.09	$3,808.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,350.38 / $4,350.38 / $4,350.38	Professional		$4,350.38	$4,350.38	$4,350.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,195.08 / $1,602.16 / $2,260.64	Professional		$1,195.08	$1,602.16	$2,260.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,109.92 / $1,599.57 / $4,252.21	Professional		$1,109.92	$1,599.57	$4,252.21