Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.65 / $9,674.00 / $20,509.00	Facility		$1,274.65	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.67 / $1,223.69 / $5,993.83	Professional		$1,082.67	$1,223.69	$5,993.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,250.00 / $17,234.45	Facility		$2,456.00	$7,250.00	$17,234.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.02 / $1,701.93 / $3,318.42	Professional		$1,310.02	$1,701.93	$3,318.42
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 $803.05 / $1,234.20 / $3,036.69	Professional		$803.05	$1,234.20	$3,036.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.71 / $1,487.05 / $4,529.16	Professional		$1,106.71	$1,487.05	$4,529.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,260.42 / $1,512.50	Professional		$843.26	$1,260.42	$1,512.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,134.38 / $1,450.62 / $2,578.21	Professional		$1,134.38	$1,450.62	$2,578.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,357.84 / $10,586.56	Facility		$55.00	$8,357.84	$10,586.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,267.68 / $8,455.76 / $9,422.40	Professional		$8,267.68	$8,455.76	$9,422.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,208.84 / $1,535.34 / $2,045.32	Facility		$1,208.84	$1,535.34	$2,045.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,126.59 / $1,495.91 / $3,226.71	Professional		$1,126.59	$1,495.91	$3,226.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,719.06 / $3,719.06 / $3,719.06	Professional		$3,719.06	$3,719.06	$3,719.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,264.89 / $1,595.13	Professional		$843.26	$1,264.89	$1,595.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $950.46 / $1,421.67 / $3,638.46	Professional		$950.46	$1,421.67	$3,638.46