Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.18 / $9,639.00 / $20,509.00	Facility		$1,166.18	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.81 / $1,166.18 / $5,974.01	Professional		$1,048.81	$1,166.18	$5,974.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,598.00 / $10,000.00 / $20,418.00	Facility		$3,598.00	$10,000.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.96 / $2,088.46 / $3,901.71	Professional		$1,513.96	$2,088.46	$3,901.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $857.03 / $1,318.26 / $2,930.30	Professional		$857.03	$1,318.26	$2,930.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.13 / $1,434.46 / $3,587.50	Professional		$1,167.13	$1,434.46	$3,587.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,226.15 / $1,594.00	Professional		$1,011.91	$1,226.15	$1,594.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.90 / $1,418.16 / $2,571.07	Professional		$1,092.90	$1,418.16	$2,571.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,132.32 / $21,195.68	Facility		$55.00	$17,132.32	$21,195.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,227.00 / $10,227.00 / $10,227.00	Professional		$10,227.00	$10,227.00	$10,227.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.43 / $1,533.92 / $2,097.38	Facility		$1,162.43	$1,533.92	$2,097.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,167.13 / $1,423.92 / $3,263.85	Professional		$1,167.13	$1,423.92	$3,263.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,706.75 / $3,706.75 / $3,706.75	Professional		$3,706.75	$3,706.75	$3,706.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,358.81 / $1,914.15	Professional		$1,011.91	$1,358.81	$1,914.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $975.58 / $1,357.04 / $3,139.03	Professional		$975.58	$1,357.04	$3,139.03