Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.32 / $9,639.00 / $20,509.00	Facility		$1,640.32	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.46 / $1,640.32 / $7,700.08	Professional		$1,393.46	$1,640.32	$7,700.08
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 $1,686.50 / $2,226.00 / $4,311.39	Professional		$1,686.50	$2,226.00	$4,311.39
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 $1,039.22 / $1,597.75 / $3,930.30	Professional		$1,039.22	$1,597.75	$3,930.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,435.33 / $1,912.70 / $5,817.91	Professional		$1,435.33	$1,912.70	$5,817.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $1,938.91	Professional		$1,011.91	$1,531.32	$1,938.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,454.18 / $1,859.86 / $3,306.34	Professional		$1,454.18	$1,859.86	$3,306.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,723.28 / $13,583.20	Facility		$55.00	$10,723.28	$13,583.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,606.08 / $10,849.84 / $12,089.33	Professional		$10,606.08	$10,849.84	$12,089.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,549.88 / $1,984.79 / $2,713.20	Facility		$1,549.88	$1,984.79	$2,713.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,455.45 / $1,920.28 / $4,148.76	Professional		$1,455.45	$1,920.28	$4,148.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,777.75 / $4,777.75 / $4,777.75	Professional		$4,777.75	$4,777.75	$4,777.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,517.87 / $1,914.15	Professional		$1,011.91	$1,517.87	$1,914.15
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 $1,221.27 / $1,786.68 / $4,807.72	Professional		$1,221.27	$1,786.68	$4,807.72