Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,870.58 / $9,649.75 / $20,509.00	Facility		$1,870.58	$9,649.75	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,681.75 / $1,870.58 / $8,947.67	Professional		$1,681.75	$1,870.58	$8,947.67
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 $2,310.98 / $3,180.86 / $5,930.43	Professional		$2,310.98	$3,180.86	$5,930.43
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 $1,335.45 / $2,054.16 / $4,495.17	Professional		$1,335.45	$2,054.16	$4,495.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,747.03 / $2,173.50 / $5,274.08	Professional		$1,747.03	$2,173.50	$5,274.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,794.14 / $1,861.50 / $2,422.09	Professional		$1,794.14	$1,861.50	$2,422.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,614.73 / $2,063.32 / $4,348.00	Professional		$1,614.73	$2,063.32	$4,348.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $41,757.30 / $51,568.66	Facility		$55.00	$41,757.30	$51,568.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,324.00 / $18,542.75 / $18,542.75	Professional		$18,324.00	$18,542.75	$18,542.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,739.24 / $2,307.79 / $3,600.00	Facility		$1,739.24	$2,307.79	$3,600.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,744.95 / $2,163.36 / $4,953.21	Professional		$1,744.95	$2,163.36	$4,953.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,551.87 / $5,551.87 / $5,551.87	Professional		$5,551.87	$5,551.87	$5,551.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,667.98 / $2,347.50 / $3,521.25	Professional		$1,667.98	$2,347.50	$3,521.25
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 $1,441.45 / $2,085.67 / $4,695.08	Professional		$1,441.45	$2,085.67	$4,695.08