Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.97 / $9,639.00 / $20,509.00	Facility		$1,513.97	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,361.33 / $1,513.97 / $7,452.27	Professional		$1,361.33	$1,513.97	$7,452.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,323.29 / $17,015.00	Facility		$3,640.00	$8,323.29	$17,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,378.80 / $2,484.61 / $4,939.28	Professional		$1,378.80	$2,484.61	$4,939.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,080.04 / $1,655.65 / $3,649.70	Professional		$1,080.04	$1,655.65	$3,649.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.82 / $1,789.36 / $4,405.67	Professional		$1,433.82	$1,789.36	$4,405.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $638.04 / $1,580.33	Professional		$505.96	$638.04	$1,580.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.25 / $1,537.61 / $2,823.14	Professional		$1,185.25	$1,537.61	$2,823.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,545.75 / $27,142.40	Facility		$55.00	$19,545.75	$27,142.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,187.68 / $10,680.80 / $11,260.20	Professional		$9,187.68	$10,680.80	$11,260.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,245.76 / $1,656.53 / $2,285.86	Facility		$1,245.76	$1,656.53	$2,285.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,406.09 / $1,789.36 / $4,054.15	Professional		$1,406.09	$1,789.36	$4,054.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,623.99 / $4,623.99 / $4,623.99	Professional		$4,623.99	$4,623.99	$4,623.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $860.12 / $1,457.74	Professional		$505.96	$860.12	$1,457.74
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 $1,197.52 / $1,722.11 / $3,910.39	Professional		$1,197.52	$1,722.11	$3,910.39