Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.52 / $9,639.00 / $20,509.00	Facility		$1,178.52	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.72 / $1,178.52 / $5,736.76	Professional		$1,071.72	$1,178.52	$5,736.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $20,418.00	Facility		$3,537.00	$9,830.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,523.35 / $2,168.07 / $3,901.37	Professional		$1,523.35	$2,168.07	$3,901.37
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 $939.84 / $1,445.12 / $3,102.36	Professional		$939.84	$1,445.12	$3,102.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.80 / $1,428.96 / $3,439.30	Professional		$1,157.80	$1,428.96	$3,439.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.17 / $1,125.59 / $1,519.56	Professional		$1,097.17	$1,125.59	$1,519.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.04 / $1,309.07 / $2,406.87	Professional		$1,013.04	$1,309.07	$2,406.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,423.28 / $14,055.14	Facility		$55.00	$11,423.28	$14,055.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,338.08 / $8,338.08 / $9,574.43	Professional		$8,338.08	$8,338.08	$9,574.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,105.51 / $1,572.11 / $2,422.50	Facility		$1,105.51	$1,572.11	$2,422.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,157.80 / $1,432.37 / $3,213.21	Professional		$1,157.80	$1,432.37	$3,213.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,559.54 / $3,559.54 / $3,559.54	Professional		$3,559.54	$3,559.54	$3,559.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,060.55 / $1,383.62 / $2,075.42	Professional		$1,060.55	$1,383.62	$2,075.42
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 $936.86 / $1,382.87 / $3,001.56	Professional		$936.86	$1,382.87	$3,001.56