Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,943.79 / $10,050.70 / $20,509.00	Facility		$1,943.79	$10,050.70	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,782.90 / $1,943.79 / $9,546.20	Professional		$1,782.90	$1,943.79	$9,546.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,483.25 / $3,519.89 / $6,311.07	Professional		$2,483.25	$3,519.89	$6,311.07
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 $1,524.76 / $2,340.48 / $5,004.74	Professional		$1,524.76	$2,340.48	$5,004.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,911.78 / $2,370.29 / $5,702.89	Professional		$1,911.78	$2,370.29	$5,702.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.22 / $1,849.72 / $2,497.12	Professional		$1,728.22	$1,849.72	$2,497.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,664.75 / $2,168.21 / $3,974.30	Professional		$1,664.75	$2,168.21	$3,974.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,615.52 / $33,934.24	Facility		$55.00	$27,615.52	$33,934.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,970.08 / $13,305.12 / $15,908.03	Professional		$12,970.08	$13,305.12	$15,908.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,840.87 / $2,549.55 / $3,232.43	Facility		$1,840.87	$2,549.55	$3,232.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,911.78 / $2,356.40 / $5,363.14	Professional		$1,911.78	$2,356.40	$5,363.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,923.26 / $5,923.26 / $5,923.26	Professional		$5,923.26	$5,923.26	$5,923.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,728.22 / $2,179.42 / $3,269.13	Professional		$1,728.22	$2,179.42	$3,269.13
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 $1,597.33 / $2,292.13 / $5,208.29	Professional		$1,597.33	$2,292.13	$5,208.29