Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.42 / $9,759.11 / $20,509.00	Facility		$1,592.42	$9,759.11	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.93 / $1,679.02 / $9,037.11	Professional		$1,466.93	$1,679.02	$9,037.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,077.13 / $2,774.36 / $5,234.37	Professional		$2,077.13	$2,774.36	$5,234.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,235.21 / $1,847.75 / $4,549.83	Professional		$1,235.21	$1,847.75	$4,549.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,767.39 / $2,331.17 / $6,840.42	Professional		$1,767.39	$2,331.17	$6,840.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,455.69 / $1,818.10 / $2,183.54	Professional		$1,455.69	$1,818.10	$2,183.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,665.73 / $2,175.08 / $3,828.13	Professional		$1,665.73	$2,175.08	$3,828.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,964.16 / $32,072.32	Facility		$55.00	$25,964.16	$32,072.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,266.64 / $12,573.68 / $14,970.30	Professional		$12,266.64	$12,573.68	$14,970.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,688.13 / $2,102.30 / $2,908.96	Facility		$1,688.13	$2,102.30	$2,908.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,807.58 / $2,340.61 / $5,320.70	Professional		$1,807.58	$2,340.61	$5,320.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,607.36 / $5,607.36 / $5,607.36	Professional		$5,607.36	$5,607.36	$5,607.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,455.69 / $2,013.83 / $2,474.67	Professional		$1,455.69	$2,013.83	$2,474.67
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 $1,443.91 / $2,145.82 / $5,787.90	Professional		$1,443.91	$2,145.82	$5,787.90