Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.07 / $10,061.00 / $20,509.00	Facility		$1,469.07	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.84 / $1,469.07 / $10,919.30	Professional		$1,324.84	$1,469.07	$10,919.30
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 $1,890.07 / $2,581.50 / $5,194.25	Professional		$1,890.07	$2,581.50	$5,194.25
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 $1,065.76 / $1,636.35 / $3,869.19	Professional		$1,065.76	$1,636.35	$3,869.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,488.59 / $2,386.44 / $5,904.99	Professional		$1,488.59	$2,386.44	$5,904.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,692.43	Professional		$1,191.35	$1,502.40	$2,692.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,001.31 / $2,521.42 / $4,690.88	Professional		$2,001.31	$2,521.42	$4,690.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,581.28 / $38,968.32	Facility		$55.00	$31,581.28	$38,968.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,902.16 / $15,249.36 / $18,252.68	Professional		$14,902.16	$15,249.36	$18,252.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,830.66 / $2,475.00 / $3,255.00	Facility		$1,830.66	$2,475.00	$3,255.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,488.59 / $2,444.65 / $5,683.91	Professional		$1,488.59	$2,444.65	$5,683.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,775.26 / $6,775.26 / $6,775.26	Professional		$6,775.26	$6,775.26	$6,775.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,953.12 / $2,485.60	Professional		$1,191.35	$1,953.12	$2,485.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,515.36 / $2,285.56 / $5,992.17	Professional		$1,515.36	$2,285.56	$5,992.17