Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.81 / $9,639.00 / $20,509.00	Facility		$1,609.81	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.03 / $1,560.21 / $7,359.69	Professional		$1,417.03	$1,560.21	$7,359.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,612.00 / $18,150.00	Facility		$3,765.00	$8,612.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,063.61 / $2,756.79 / $5,051.41	Professional		$2,063.61	$2,756.79	$5,051.41
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 $948.68 / $1,459.14 / $3,289.35	Professional		$948.68	$1,459.14	$3,289.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.89 / $1,789.52 / $4,536.06	Professional		$1,421.89	$1,789.52	$4,536.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,427.01 / $1,712.41	Professional		$1,116.90	$1,427.01	$1,712.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,284.31 / $1,670.33 / $3,064.31	Professional		$1,284.31	$1,670.33	$3,064.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,611.63 / $17,970.25	Facility		$55.00	$14,611.63	$17,970.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,248.32 / $12,242.40	Professional		$10,151.00	$10,248.32	$12,242.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,392.87 / $1,783.76 / $2,474.94	Facility		$1,392.87	$1,783.76	$2,474.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,407.56 / $1,786.16 / $4,131.41	Professional		$1,407.56	$1,786.16	$4,131.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,566.55 / $4,566.55 / $4,566.55	Professional		$4,566.55	$4,566.55	$4,566.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,451.97 / $1,898.73	Professional		$1,116.90	$1,451.97	$1,898.73
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 $1,225.02 / $1,798.71 / $4,016.29	Professional		$1,225.02	$1,798.71	$4,016.29