Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.92 / $9,639.00 / $20,509.00	Facility		$1,628.92	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.00 / $1,565.76 / $7,660.09	Professional		$1,386.00	$1,565.76	$7,660.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,450.00 / $21,131.00	Facility		$4,446.00	$10,450.00	$21,131.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,679.66 / $2,249.51 / $4,303.22	Professional		$1,679.66	$2,249.51	$4,303.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,043.58 / $1,602.63 / $3,945.21	Professional		$1,043.58	$1,602.63	$3,945.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.82 / $1,900.20 / $5,783.72	Professional		$1,421.82	$1,900.20	$5,783.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,603.57 / $1,924.28	Professional		$1,096.42	$1,603.57	$1,924.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,443.21 / $1,846.79 / $3,285.79	Professional		$1,443.21	$1,846.79	$3,285.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,673.44 / $13,513.44	Facility		$55.00	$10,673.44	$13,513.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,555.60 / $10,796.64 / $12,029.78	Professional		$10,555.60	$10,796.64	$12,029.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $1,972.86 / $2,615.26	Facility		$1,538.99	$1,972.86	$2,615.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,439.26 / $1,907.98 / $4,120.63	Professional		$1,439.26	$1,907.98	$4,120.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,752.95 / $4,752.95 / $4,752.95	Professional		$4,752.95	$4,752.95	$4,752.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,644.64 / $2,074.02	Professional		$1,096.42	$1,644.64	$2,074.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,108.00 / $18,709.00	Facility		$1,930.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,178.80 / $1,810.30 / $4,539.06	Professional		$1,178.80	$1,810.30	$4,539.06