Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.50 / $9,639.00 / $20,509.00	Facility		$1,290.50	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.06 / $1,252.63 / $4,553.33	Professional		$1,133.06	$1,252.63	$4,553.33
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 $1,325.03 / $1,766.11 / $3,381.46	Professional		$1,325.03	$1,766.11	$3,381.46
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 $811.01 / $1,246.49 / $3,067.12	Professional		$811.01	$1,246.49	$3,067.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.07 / $1,508.43 / $4,594.50	Professional		$1,122.07	$1,508.43	$4,594.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,277.91 / $1,533.49	Professional		$927.77	$1,277.91	$1,533.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.11 / $1,470.88 / $2,665.70	Professional		$1,150.11	$1,470.88	$2,665.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,478.40 / $10,733.36	Facility		$55.00	$8,478.40	$10,733.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,559.12 / $10,108.39 / $10,441.96	Professional		$9,559.12	$10,108.39	$10,441.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,225.73 / $1,562.20 / $2,146.41	Facility		$1,225.73	$1,562.20	$2,146.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,142.74 / $1,510.09 / $3,272.61	Professional		$1,142.74	$1,510.09	$3,272.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,788.74 / $3,788.74 / $3,788.74	Professional		$3,788.74	$3,788.74	$3,788.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,391.66 / $1,754.99	Professional		$927.77	$1,391.66	$1,754.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $21,278.00	Facility		$4,110.00	$9,707.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $959.00 / $1,445.23 / $3,706.42	Professional		$959.00	$1,445.23	$3,706.42