Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,450.26 / $9,639.00 / $20,509.00	Facility		$1,450.26	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,295.42 / $1,450.26 / $7,404.66	Professional		$1,295.42	$1,450.26	$7,404.66
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 $1,820.56 / $2,409.46 / $4,645.46	Professional		$1,820.56	$2,409.46	$4,645.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,487.53	Facility		$63.50	$100.00	$5,487.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $959.84 / $1,465.55 / $3,265.54	Professional		$959.84	$1,465.55	$3,265.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.77 / $1,736.11 / $4,356.21	Professional		$1,366.77	$1,736.11	$4,356.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $1,956.23	Professional		$1,191.35	$1,502.40	$1,956.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,347.33 / $1,718.34 / $3,165.13	Professional		$1,347.33	$1,718.34	$3,165.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,197.28 / $26,231.20	Facility		$55.00	$21,197.28	$26,231.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,636.00 / $13,636.00 / $13,636.00	Professional		$13,636.00	$13,636.00	$13,636.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,410.69 / $1,880.99 / $2,687.84	Facility		$1,410.69	$1,880.99	$2,687.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,366.77 / $1,723.65 / $4,001.96	Professional		$1,366.77	$1,723.65	$4,001.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,594.46 / $4,594.46 / $4,594.46	Professional		$4,594.46	$4,594.46	$4,594.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,667.39 / $2,253.60	Professional		$1,191.35	$1,667.39	$2,253.60
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 $1,188.56 / $1,671.55 / $5,125.97	Professional		$1,188.56	$1,671.55	$5,125.97