Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.22 / $9,639.00 / $20,509.00	Facility		$1,095.22	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.73 / $1,094.64 / $5,153.06	Professional		$992.73	$1,094.64	$5,153.06
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 $1,391.70 / $1,912.16 / $3,457.18	Professional		$1,391.70	$1,912.16	$3,457.18
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 $837.19 / $1,286.53 / $2,756.06	Professional		$837.19	$1,286.53	$2,756.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.49 / $1,297.79 / $3,257.38	Professional		$1,044.49	$1,297.79	$3,257.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.79 / $1,116.90 / $1,408.50	Professional		$1,005.79	$1,116.90	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.21 / $1,173.09 / $2,154.77	Professional		$905.21	$1,173.09	$2,154.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,384.67 / $10,309.32	Facility		$55.00	$8,384.67	$10,309.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,574.00 / $10,574.00 / $10,574.00	Professional		$10,574.00	$10,574.00	$10,574.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.91 / $1,405.94 / $2,131.80	Facility		$993.91	$1,405.94	$2,131.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,044.49 / $1,297.79 / $2,888.97	Professional		$1,044.49	$1,297.79	$2,888.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,197.38 / $3,197.38 / $3,197.38	Professional		$3,197.38	$3,197.38	$3,197.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $949.42 / $1,408.50 / $2,112.75	Professional		$949.42	$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 $860.44 / $1,275.71 / $2,703.76	Professional		$860.44	$1,275.71	$2,703.76