Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.17 / $10,061.00 / $20,509.00	Facility		$1,791.17	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,606.97 / $1,791.17 / $10,440.79	Professional		$1,606.97	$1,791.17	$10,440.79
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 $2,383.51 / $3,255.45 / $6,255.73	Professional		$2,383.51	$3,255.45	$6,255.73
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 $1,339.87 / $2,061.37 / $4,593.14	Professional		$1,339.87	$2,061.37	$4,593.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,864.14 / $2,447.02 / $6,254.83	Professional		$1,864.14	$2,447.02	$6,254.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $2,086.52 / $2,792.25	Professional		$1,861.50	$2,086.52	$2,792.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,877.87 / $2,403.29 / $4,417.78	Professional		$1,877.87	$2,403.29	$4,417.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $48,723.22 / $60,150.74	Facility		$55.00	$48,723.22	$60,150.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,159.00 / $22,159.00 / $22,159.00	Professional		$22,159.00	$22,159.00	$22,159.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,990.55 / $2,553.12 / $3,892.76	Facility		$1,990.55	$2,553.12	$3,892.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,864.14 / $2,428.17 / $5,636.91	Professional		$1,864.14	$2,428.17	$5,636.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,478.32 / $6,478.32 / $6,478.32	Professional		$6,478.32	$6,478.32	$6,478.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $2,347.50 / $3,521.25	Professional		$1,861.50	$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 $1,688.08 / $2,322.10 / $5,713.93	Professional		$1,688.08	$2,322.10	$5,713.93