Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,718.66 / $10,061.00 / $20,509.00	Facility		$2,718.66	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,471.35 / $2,899.31 / $13,782.20	Professional		$2,471.35	$2,899.31	$13,782.20
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 $3,664.94 / $4,827.89 / $9,130.32	Professional		$3,664.94	$4,827.89	$9,130.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,858.12	Facility		$63.50	$98.70	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,693.87 / $2,607.35 / $5,811.45	Professional		$1,693.87	$2,607.35	$5,811.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,593.07 / $3,293.15 / $8,180.95	Professional		$2,593.07	$3,293.15	$8,180.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.27 / $2,752.05 / $3,715.27	Professional		$2,703.27	$2,752.05	$3,715.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,476.85 / $3,209.83 / $5,798.47	Professional		$2,476.85	$3,209.83	$5,798.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,675.59 / $57,709.46	Facility		$55.00	$46,675.59	$57,709.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,739.00 / $25,739.00 / $25,739.00	Professional		$25,739.00	$25,739.00	$25,739.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,635.67 / $3,440.06 / $5,110.58	Facility		$2,635.67	$3,440.06	$5,110.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,593.07 / $3,253.20 / $7,494.00	Professional		$2,593.07	$3,253.20	$7,494.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,551.59 / $8,551.59 / $8,551.59	Professional		$8,551.59	$8,551.59	$8,551.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,559.37 / $3,409.04 / $5,113.56	Professional		$2,559.37	$3,409.04	$5,113.56
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 $2,263.83 / $3,260.42 / $7,006.19	Professional		$2,263.83	$3,260.42	$7,006.19