Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,563.52 / $10,061.00 / $20,509.00	Facility		$2,563.52	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,267.96 / $2,495.66 / $11,766.80	Professional		$2,267.96	$2,495.66	$11,766.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,981.00 / $18,903.00	Facility		$4,043.00	$8,981.00	$18,903.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,531.16 / $4,172.33 / $7,792.95	Professional		$2,531.16	$4,172.33	$7,792.95
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 $1,653.15 / $2,539.73 / $5,659.03	Professional		$1,653.15	$2,539.73	$5,659.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,325.62 / $2,913.09 / $7,020.80	Professional		$2,325.62	$2,913.09	$7,020.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,128.44 / $2,273.15 / $2,955.10	Professional		$2,128.44	$2,273.15	$2,955.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,045.84 / $2,668.18 / $4,888.17	Professional		$2,045.84	$2,668.18	$4,888.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $34,007.68 / $41,784.00	Facility		$55.00	$34,007.68	$41,784.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,688.62 / $23,688.62 / $23,688.62	Professional		$23,688.62	$23,688.62	$23,688.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,223.48 / $2,841.44 / $3,980.76	Facility		$2,223.48	$2,841.44	$3,980.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,325.62 / $2,913.09 / $6,615.32	Professional		$2,325.62	$2,913.09	$6,615.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,301.08 / $7,301.08 / $7,301.08	Professional		$7,301.08	$7,301.08	$7,301.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,058.41 / $2,515.83 / $3,618.35	Professional		$2,058.41	$2,515.83	$3,618.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,940.00 / $6,395.00 / $18,709.00	Facility		$1,940.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,970.27 / $2,824.60 / $6,419.12	Professional		$1,970.27	$2,824.60	$6,419.12