Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,665.00 / $20,135.00	Facility		$3,089.46	$9,665.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.24 / $1,205.57 / $6,523.00	Professional		$1,082.24	$1,205.57	$6,523.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,727.00 / $17,774.00	Facility		$3,204.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,290.14 / $2,070.21 / $4,059.65	Professional		$1,290.14	$2,070.21	$4,059.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $909.04 / $1,397.78 / $3,114.53	Professional		$909.04	$1,397.78	$3,114.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.02 / $1,519.26 / $3,719.75	Professional		$1,202.02	$1,519.26	$3,719.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.44 / $1,314.60 / $1,771.80	Professional		$1,042.44	$1,314.60	$1,771.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.78 / $1,497.23 / $2,801.52	Professional		$1,197.78	$1,497.23	$2,801.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,637.68 / $15,791.71	Facility		$55.00	$12,637.68	$15,791.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,887.92 / $9,082.40 / $10,504.20	Professional		$8,887.92	$9,082.40	$10,504.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,239.88 / $1,593.65 / $2,493.50	Facility		$1,239.88	$1,593.65	$2,493.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,172.01 / $1,519.26 / $3,509.61	Professional		$1,172.01	$1,519.26	$3,509.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,047.41 / $4,047.41 / $4,047.41	Professional		$4,047.41	$4,047.41	$4,047.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,042.44 / $1,459.42 / $1,971.90	Professional		$1,042.44	$1,459.42	$1,971.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,810.00 / $22,073.00	Facility		$5,200.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,050.64 / $1,455.60 / $3,575.11	Professional		$1,050.64	$1,455.60	$3,575.11