Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,840.33 / $9,639.00 / $20,509.00	Facility		$1,840.33	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,567.55 / $1,771.37 / $8,692.44	Professional		$1,567.55	$1,771.37	$8,692.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,893.00 / $10,480.00 / $21,583.00	Facility		$4,893.00	$10,480.00	$21,583.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,893.40 / $2,637.61 / $5,070.21	Professional		$1,893.40	$2,637.61	$5,070.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,165.84 / $1,791.11 / $4,409.18	Professional		$1,165.84	$1,791.11	$4,409.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,606.23 / $2,154.46 / $6,562.96	Professional		$1,606.23	$2,154.46	$6,562.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,811.06 / $2,173.27	Professional		$1,265.08	$1,811.06	$2,173.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,629.95 / $2,086.00 / $3,712.10	Professional		$1,629.95	$2,086.00	$3,712.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,062.72 / $15,263.52	Facility		$55.00	$12,062.72	$15,263.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,595.18 / $14,877.05 / $15,367.99	Professional		$13,595.18	$14,877.05	$15,367.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,688.13 / $2,259.83 / $3,065.93	Facility		$1,688.13	$2,259.83	$3,065.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,635.04 / $2,157.82 / $4,678.85	Professional		$1,635.04	$2,157.82	$4,678.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,393.50 / $5,393.50 / $5,393.50	Professional		$5,393.50	$5,393.50	$5,393.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,897.61 / $2,393.04	Professional		$1,265.08	$1,897.61	$2,393.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,340.09 / $2,091.14 / $6,496.29	Professional		$1,340.09	$2,091.14	$6,496.29