Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.97 / $9,639.00 / $20,509.00	Facility		$1,212.97	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.96 / $1,180.58 / $5,557.33	Professional		$1,094.96	$1,180.58	$5,557.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,323.29 / $17,015.00	Facility		$3,640.00	$8,323.29	$17,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,545.00 / $2,065.21 / $3,733.90	Professional		$1,545.00	$2,065.21	$3,733.90
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 $725.47 / $1,115.59 / $2,485.78	Professional		$725.47	$1,115.59	$2,485.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.99 / $1,351.85 / $3,320.76	Professional		$1,099.99	$1,351.85	$3,320.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,082.80 / $1,116.90 / $1,461.78	Professional		$1,082.80	$1,116.90	$1,461.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $974.52 / $1,264.78 / $2,321.92	Professional		$974.52	$1,264.78	$2,321.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,045.36 / $11,113.29	Facility		$55.00	$9,045.36	$11,113.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,728.00 / $9,728.00 / $9,728.00	Professional		$9,728.00	$9,728.00	$9,728.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,069.58 / $1,440.76 / $2,250.00	Facility		$1,069.58	$1,440.76	$2,250.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,074.66 / $1,351.85 / $3,117.79	Professional		$1,074.66	$1,351.85	$3,117.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,448.23 / $3,448.23 / $3,448.23	Professional		$3,448.23	$3,448.23	$3,448.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,022.96 / $1,408.50 / $2,112.75	Professional		$1,022.96	$1,408.50	$2,112.75
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 $915.32 / $1,359.96 / $3,033.57	Professional		$915.32	$1,359.96	$3,033.57