Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.50 / $10,051.00 / $20,509.00	Facility		$1,950.50	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,780.41 / $2,114.75 / $10,034.70	Professional		$1,780.41	$2,114.75	$10,034.70
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 $2,608.81 / $3,600.59 / $6,645.30	Professional		$2,608.81	$3,600.59	$6,645.30
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 $1,470.96 / $2,256.28 / $4,940.35	Professional		$1,470.96	$2,256.28	$4,940.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,948.06 / $2,409.50 / $5,905.81	Professional		$1,948.06	$2,409.50	$5,905.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.05 / $1,988.34 / $2,684.26	Professional		$1,854.05	$1,988.34	$2,684.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,789.51 / $2,297.06 / $4,748.87	Professional		$1,789.51	$2,297.06	$4,748.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,727.20 / $57,716.88	Facility		$55.00	$46,727.20	$57,716.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,012.00 / $23,012.00 / $23,012.00	Professional		$23,012.00	$23,012.00	$23,012.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,914.22 / $2,584.56 / $4,135.64	Facility		$1,914.22	$2,584.56	$4,135.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,923.55 / $2,400.55 / $5,567.62	Professional		$1,923.55	$2,400.55	$5,567.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,226.36 / $6,226.36 / $6,226.36	Professional		$6,226.36	$6,226.36	$6,226.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,854.05 / $2,338.11 / $3,507.17	Professional		$1,854.05	$2,338.11	$3,507.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,372.00 / $20,279.00	Facility		$2,047.00	$5,372.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,622.55 / $2,341.16 / $4,938.31	Professional		$1,622.55	$2,341.16	$4,938.31