Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.67 / $9,639.00 / $20,509.00	Facility		$1,463.67	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.52 / $1,463.67 / $7,820.04	Professional		$1,306.52	$1,463.67	$7,820.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,001.00 / $23,933.00	Facility		$3,738.00	$12,001.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,950.75 / $2,781.96 / $5,185.43	Professional		$1,950.75	$2,781.96	$5,185.43
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 $1,185.58 / $1,823.98 / $3,937.72	Professional		$1,185.58	$1,823.98	$3,937.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,524.30 / $1,877.74 / $4,601.68	Professional		$1,524.30	$1,877.74	$4,601.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.01 / $1,542.31 / $2,049.54	Professional		$1,223.01	$1,542.31	$2,049.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,417.58 / $1,808.75 / $3,327.17	Professional		$1,417.58	$1,808.75	$3,327.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $36,503.74 / $45,115.20	Facility		$55.00	$36,503.74	$45,115.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,063.00 / $14,063.00 / $14,063.00	Professional		$14,063.00	$14,063.00	$14,063.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,507.29 / $2,015.55 / $2,887.50	Facility		$1,507.29	$2,015.55	$2,887.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,507.91 / $1,876.04 / $4,232.42	Professional		$1,507.91	$1,876.04	$4,232.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,852.21 / $4,852.21 / $4,852.21	Professional		$4,852.21	$4,852.21	$4,852.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,223.01 / $1,712.21 / $2,313.46	Professional		$1,223.01	$1,712.21	$2,313.46
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 $1,269.00 / $1,753.69 / $3,979.07	Professional		$1,269.00	$1,753.69	$3,979.07