Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,418.35 / $9,665.00 / $21,960.90	Facility		$1,418.35	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.31 / $1,372.97 / $6,503.63	Professional		$1,258.31	$1,372.97	$6,503.63
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 $1,653.26 / $2,275.57 / $4,317.46	Professional		$1,653.26	$2,275.57	$4,317.46
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 $979.41 / $1,507.48 / $3,277.91	Professional		$979.41	$1,507.48	$3,277.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,247.81 / $1,567.20 / $3,666.48	Professional		$1,247.81	$1,567.20	$3,666.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.99 / $1,475.05 / $1,860.16	Professional		$1,333.99	$1,475.05	$1,860.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,190.50 / $1,544.86 / $2,800.77	Professional		$1,190.50	$1,544.86	$2,800.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $30,474.34 / $37,667.50	Facility		$55.00	$30,474.34	$37,667.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,750.00 / $20,100.03 / $20,100.03	Professional		$18,750.00	$20,100.03	$20,100.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.82 / $1,736.39 / $2,624.22	Facility		$1,288.82	$1,736.39	$2,624.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,267.44 / $1,561.65 / $3,563.78	Professional		$1,267.44	$1,561.65	$3,563.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,035.38 / $4,035.38 / $4,035.38	Professional		$4,035.38	$4,035.38	$4,035.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,229.93 / $1,860.16 / $2,790.24	Professional		$1,229.93	$1,860.16	$2,790.24
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 $1,067.21 / $1,503.46 / $4,494.56	Professional		$1,067.21	$1,503.46	$4,494.56