Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,510.83 / $10,061.00 / $20,509.00	Facility		$2,510.83	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,272.86 / $2,510.83 / $12,292.50	Professional		$2,272.86	$2,510.83	$12,292.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,760.26 / $9,644.00 / $19,252.00	Facility		$3,760.26	$9,644.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,421.53 / $4,261.00 / $8,010.39	Professional		$3,421.53	$4,261.00	$8,010.39
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 $1,733.12 / $2,664.54 / $5,937.13	Professional		$1,733.12	$2,664.54	$5,937.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,394.86 / $3,010.72 / $7,596.30	Professional		$2,394.86	$3,010.72	$7,596.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,984.36 / $2,441.09 / $3,173.42	Professional		$1,984.36	$2,441.09	$3,173.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,196.98 / $2,818.74 / $4,750.00	Professional		$2,196.98	$2,818.74	$4,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,290.51 / $57,131.76	Facility		$55.00	$46,290.51	$57,131.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,226.12 / $22,841.74 / $22,841.74	Professional		$21,226.12	$22,841.74	$22,841.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,343.53 / $3,051.36 / $4,072.99	Facility		$2,343.53	$3,051.36	$4,072.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,376.37 / $3,005.53 / $6,819.79	Professional		$2,376.37	$3,005.53	$6,819.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,627.27 / $7,627.27 / $7,627.27	Professional		$7,627.27	$7,627.27	$7,627.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,984.36 / $2,703.35 / $3,753.65	Professional		$1,984.36	$2,703.35	$3,753.65
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 $2,031.17 / $2,849.35 / $6,247.29	Professional		$2,031.17	$2,849.35	$6,247.29