Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.03 / $9,639.00 / $20,509.00	Facility		$1,316.03	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.08 / $1,310.01 / $6,414.34	Professional		$1,167.08	$1,310.01	$6,414.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,163.93 / $20,418.00	Facility		$4,314.00	$10,163.93	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.51 / $1,795.80 / $3,461.85	Professional		$1,329.51	$1,795.80	$3,461.85
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 $840.32 / $1,292.48 / $3,178.55	Professional		$840.32	$1,292.48	$3,178.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.65 / $1,540.09 / $4,430.39	Professional		$1,140.65	$1,540.09	$4,430.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $1,665.80	Professional		$843.26	$1,276.09	$1,665.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,249.34 / $1,607.45 / $2,882.04	Professional		$1,249.34	$1,607.45	$2,882.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,621.44 / $11,887.68	Facility		$55.00	$9,621.44	$11,887.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,098.71 / $9,303.68 / $11,125.65	Professional		$9,098.71	$9,303.68	$11,125.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,289.85 / $1,634.06 / $2,178.86	Facility		$1,289.85	$1,634.06	$2,178.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,154.77 / $1,606.33 / $3,441.34	Professional		$1,154.77	$1,606.33	$3,441.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,979.96 / $3,979.96 / $3,979.96	Professional		$3,979.96	$3,979.96	$3,979.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,270.99 / $1,595.13	Professional		$843.26	$1,270.99	$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 $1,036.78 / $1,489.26 / $4,326.18	Professional		$1,036.78	$1,489.26	$4,326.18