Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.62 / $9,639.00 / $20,509.00	Facility		$1,668.62	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,508.59 / $1,668.62 / $8,495.53	Professional		$1,508.59	$1,668.62	$8,495.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $14,273.00 / $29,600.00	Facility		$4,204.00	$14,273.00	$29,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,205.08 / $3,011.76 / $5,633.06	Professional		$2,205.08	$3,011.76	$5,633.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,226.81 / $1,887.31 / $4,161.97	Professional		$1,226.81	$1,887.31	$4,161.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,655.90 / $2,039.92 / $4,998.99	Professional		$1,655.90	$2,039.92	$4,998.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,692.85 / $1,720.70 / $2,322.94	Professional		$1,692.85	$1,720.70	$2,322.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,543.14 / $1,997.45 / $3,623.27	Professional		$1,543.14	$1,997.45	$3,623.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,904.04 / $39,465.51	Facility		$55.00	$31,904.04	$39,465.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,601.00 / $18,601.00 / $18,601.00	Professional		$18,601.00	$18,601.00	$18,601.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,639.59 / $2,192.67 / $3,502.95	Facility		$1,639.59	$2,192.67	$3,502.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,655.90 / $2,035.83 / $4,669.50	Professional		$1,655.90	$2,035.83	$4,669.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,271.33 / $5,271.33 / $5,271.33	Professional		$5,271.33	$5,271.33	$5,271.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,592.46 / $2,134.82 / $3,202.22	Professional		$1,592.46	$2,134.82	$3,202.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,397.52 / $1,965.35 / $4,193.38	Professional		$1,397.52	$1,965.35	$4,193.38