Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,273.16 / $10,061.00 / $20,509.00	Facility		$2,273.16	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,033.73 / $2,273.16 / $11,827.30	Professional		$2,033.73	$2,273.16	$11,827.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $14,273.00 / $29,600.00	Facility		$4,204.00	$14,273.00	$29,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,968.34 / $4,054.25 / $7,667.55	Professional		$2,968.34	$4,054.25	$7,667.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,534.30 / $2,342.71 / $5,220.05	Professional		$1,534.30	$2,342.71	$5,220.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,213.53 / $2,775.34 / $6,726.72	Professional		$2,213.53	$2,775.34	$6,726.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,976.91 / $2,341.84 / $3,044.39	Professional		$1,976.91	$2,341.84	$3,044.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,107.66 / $2,706.37 / $4,750.00	Professional		$2,107.66	$2,706.37	$4,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55,077.10 / $68,001.44	Facility		$55.00	$55,077.10	$68,001.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,421.00 / $26,421.00 / $26,421.00	Professional		$26,421.00	$26,421.00	$26,421.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,255.31 / $2,956.90 / $4,729.66	Facility		$2,255.31	$2,956.90	$4,729.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,225.59 / $2,775.34 / $6,443.95	Professional		$2,225.59	$2,775.34	$6,443.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,338.63 / $7,338.63 / $7,338.63	Professional		$7,338.63	$7,338.63	$7,338.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,976.91 / $2,593.37 / $3,739.57	Professional		$1,976.91	$2,593.37	$3,739.57
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 $1,895.27 / $2,673.89 / $6,604.25	Professional		$1,895.27	$2,673.89	$6,604.25