Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.30 / $10,061.00 / $20,509.00	Facility		$1,669.30	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.88 / $2,172.36 / $13,557.30	Professional		$1,510.88	$2,172.36	$13,557.30
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 $2,177.87 / $3,004.34 / $6,045.03	Professional		$2,177.87	$3,004.34	$6,045.03
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 $1,105.03 / $1,699.92 / $4,143.89	Professional		$1,105.03	$1,699.92	$4,143.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,697.62 / $2,973.56 / $7,182.70	Professional		$1,697.62	$2,973.56	$7,182.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $1,808.04 / $3,195.91	Professional		$1,433.73	$1,808.04	$3,195.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,396.92 / $3,061.01 / $4,750.00	Professional		$2,396.92	$3,061.01	$4,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $49,931.70 / $61,750.08	Facility		$55.00	$49,931.70	$61,750.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,058.88 / $18,490.64 / $21,865.65	Professional		$18,058.88	$18,490.64	$21,865.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,043.04 / $2,899.50 / $3,990.00	Facility		$2,043.04	$2,899.50	$3,990.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,697.62 / $3,009.88 / $6,932.83	Professional		$1,697.62	$3,009.88	$6,932.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,412.04 / $8,412.04 / $8,412.04	Professional		$8,412.04	$8,412.04	$8,412.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,350.46 / $2,950.38	Professional		$1,433.73	$2,350.46	$2,950.38
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 $1,852.32 / $2,785.40 / $7,424.41	Professional		$1,852.32	$2,785.40	$7,424.41