Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,000.98 / $10,051.00 / $20,509.00	Facility		$2,000.98	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.32 / $1,986.04 / $7,887.92	Professional		$1,819.32	$1,986.04	$7,887.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,643.89 / $3,517.52 / $6,781.78	Professional		$2,643.89	$3,517.52	$6,781.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,393.26	Facility		$63.50	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,198.53 / $1,864.34 / $4,281.31	Professional		$1,198.53	$1,864.34	$4,281.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,930.44 / $2,443.19 / $6,055.38	Professional		$1,930.44	$2,443.19	$6,055.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,765.32 / $2,647.98	Professional		$1,399.85	$1,765.32	$2,647.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,866.15 / $2,383.26 / $4,750.00	Professional		$1,866.15	$2,383.26	$4,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $38,893.47 / $48,078.24	Facility		$55.00	$38,893.47	$48,078.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,046.00 / $17,046.00 / $17,047.95	Professional		$17,046.00	$17,046.00	$17,047.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,938.86 / $2,552.21 / $3,460.31	Facility		$1,938.86	$2,552.21	$3,460.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,881.46 / $2,412.85 / $5,575.78	Professional		$1,881.46	$2,412.85	$5,575.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,431.50 / $6,431.50 / $6,431.50	Professional		$6,431.50	$6,431.50	$6,431.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,959.79 / $2,647.98	Professional		$1,399.85	$1,959.79	$2,647.98
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 $1,669.85 / $2,478.90 / $6,631.01	Professional		$1,669.85	$2,478.90	$6,631.01