Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,759.14 / $9,811.04 / $20,509.00	Facility		$1,759.14	$9,811.04	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.01 / $1,759.14 / $9,055.93	Professional		$1,590.01	$1,759.14	$9,055.93
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 $2,320.42 / $3,316.70 / $6,291.87	Professional		$2,320.42	$3,316.70	$6,291.87
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 $1,357.41 / $2,087.65 / $4,558.28	Professional		$1,357.41	$2,087.65	$4,558.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,767.22 / $2,174.50 / $5,335.05	Professional		$1,767.22	$2,174.50	$5,335.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.80 / $1,838.15 / $2,389.60	Professional		$1,561.80	$1,838.15	$2,389.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,648.61 / $2,104.42 / $3,872.48	Professional		$1,648.61	$2,104.42	$3,872.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $42,368.56 / $52,353.08	Facility		$55.00	$42,368.56	$52,353.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,352.00 / $23,352.00 / $23,352.00	Professional		$23,352.00	$23,352.00	$23,352.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,753.68 / $2,329.98 / $3,723.99	Facility		$1,753.68	$2,329.98	$3,723.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,767.22 / $2,155.16 / $5,000.92	Professional		$1,767.22	$2,155.16	$5,000.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,619.04 / $5,619.04 / $5,619.04	Professional		$5,619.04	$5,619.04	$5,619.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,561.80 / $2,036.25 / $2,954.33	Professional		$1,561.80	$2,036.25	$2,954.33
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 $1,482.85 / $2,068.17 / $5,472.54	Professional		$1,482.85	$2,068.17	$5,472.54