Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,228.54 / $10,061.00 / $20,509.00	Facility		$2,228.54	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,048.46 / $2,228.54 / $11,044.10	Professional		$2,048.46	$2,228.54	$11,044.10
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 $2,574.75 / $3,875.58 / $7,290.98	Professional		$2,574.75	$3,875.58	$7,290.98
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 $1,553.76 / $2,387.16 / $5,319.07	Professional		$1,553.76	$2,387.16	$5,319.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,185.04 / $2,675.71 / $6,596.39	Professional		$2,185.04	$2,675.71	$6,596.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,000.37 / $2,133.71 / $2,773.82	Professional		$2,000.37	$2,133.71	$2,773.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,920.34 / $2,504.10 / $4,587.76	Professional		$1,920.34	$2,504.10	$4,587.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,910.08 / $39,220.80	Facility		$55.00	$31,910.08	$39,220.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,252.16 / $22,252.16 / $22,252.16	Professional		$22,252.16	$22,252.16	$22,252.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,084.96 / $2,667.17 / $3,697.96	Facility		$2,084.96	$2,667.17	$3,697.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,185.04 / $2,675.71 / $6,208.31	Professional		$2,185.04	$2,675.71	$6,208.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,852.66 / $6,852.66 / $6,852.66	Professional		$6,852.66	$6,852.66	$6,852.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,932.17 / $2,361.54 / $3,400.63	Professional		$1,932.17	$2,361.54	$3,400.63
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 $1,849.05 / $2,651.37 / $6,147.98	Professional		$1,849.05	$2,651.37	$6,147.98