Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.39 / $9,639.00 / $20,509.00	Facility		$1,629.39	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,471.07 / $1,629.39 / $8,512.12	Professional		$1,471.07	$1,629.39	$8,512.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,166.42 / $2,981.00 / $5,647.36	Professional		$2,166.42	$2,981.00	$5,647.36
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 $1,249.79 / $1,919.04 / $4,201.93	Professional		$1,249.79	$1,919.04	$4,201.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,658.98 / $2,028.79 / $5,011.10	Professional		$1,658.98	$2,028.79	$5,011.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.67 / $1,732.01 / $2,251.61	Professional		$1,458.67	$1,732.01	$2,251.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,551.47 / $2,010.43 / $3,645.68	Professional		$1,551.47	$2,010.43	$3,645.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $39,827.06 / $49,242.70	Facility		$55.00	$39,827.06	$49,242.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,432.00 / $19,432.00 / $19,432.00	Professional		$19,432.00	$19,432.00	$19,432.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,650.63 / $2,165.01 / $3,401.05	Facility		$1,650.63	$2,165.01	$3,401.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,652.89 / $2,017.82 / $4,606.18	Professional		$1,652.89	$2,017.82	$4,606.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,281.61 / $5,281.61 / $5,281.61	Professional		$5,281.61	$5,281.61	$5,281.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,458.67 / $1,918.75 / $2,759.25	Professional		$1,458.67	$1,918.75	$2,759.25
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 $1,393.06 / $1,969.10 / $4,181.80	Professional		$1,393.06	$1,969.10	$4,181.80