Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,575.62 / $10,061.00 / $20,509.00	Facility		$2,575.62	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,352.62 / $2,575.62 / $12,309.30	Professional		$2,352.62	$2,575.62	$12,309.30
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 $2,623.73 / $4,369.05 / $8,160.38	Professional		$2,623.73	$4,369.05	$8,160.38
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 $1,731.35 / $2,659.91 / $5,926.81	Professional		$1,731.35	$2,659.91	$5,926.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,476.57 / $3,065.52 / $7,747.93	Professional		$2,476.57	$3,065.52	$7,747.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,229.33 / $2,374.09 / $3,086.32	Professional		$2,229.33	$2,374.09	$3,086.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,136.67 / $2,788.25 / $5,107.67	Professional		$2,136.67	$2,788.25	$5,107.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $35,560.16 / $43,694.08	Facility		$55.00	$35,560.16	$43,694.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,892.75 / $24,892.75 / $24,892.75	Professional		$24,892.75	$24,892.75	$24,892.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,323.54 / $2,971.88 / $4,163.63	Facility		$2,323.54	$2,971.88	$4,163.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,476.57 / $3,065.52 / $6,922.03	Professional		$2,476.57	$3,065.52	$6,922.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,637.67 / $7,637.67 / $7,637.67	Professional		$7,637.67	$7,637.67	$7,637.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,149.77 / $2,627.49 / $3,789.87	Professional		$2,149.77	$2,627.49	$3,789.87
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 $2,052.48 / $2,925.47 / $6,714.08	Professional		$2,052.48	$2,925.47	$6,714.08