Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.54 / $10,051.00 / $20,509.00	Facility		$1,988.54	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,696.98 / $1,915.12 / $9,465.83	Professional		$1,696.98	$1,915.12	$9,465.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,528.00 / $10,021.00 / $21,143.10	Facility		$4,528.00	$10,021.00	$21,143.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,051.59 / $2,680.24 / $5,224.32	Professional		$2,051.59	$2,680.24	$5,224.32
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 $1,289.20 / $1,979.21 / $4,875.66	Professional		$1,289.20	$1,979.21	$4,875.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,763.04 / $2,339.88 / $7,111.12	Professional		$1,763.04	$2,339.88	$7,111.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.74 / $1,957.81 / $2,370.92	Professional		$1,293.74	$1,957.81	$2,370.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.19 / $2,276.52 / $4,053.35	Professional		$1,778.19	$2,276.52	$4,053.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,537.19 / $14,598.71	Facility		$55.00	$11,537.19	$14,598.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,038.40 / $13,333.20 / $14,857.35	Professional		$13,038.40	$13,333.20	$14,857.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,808.86 / $2,276.52 / $3,322.01	Facility		$1,808.86	$2,276.52	$3,322.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,782.18 / $2,349.10 / $5,092.43	Professional		$1,782.18	$2,349.10	$5,092.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,873.36 / $5,873.36 / $5,873.36	Professional		$5,873.36	$5,873.36	$5,873.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,293.74 / $1,940.61 / $2,447.27	Professional		$1,293.74	$1,940.61	$2,447.27
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 $1,502.77 / $2,179.56 / $5,740.39	Professional		$1,502.77	$2,179.56	$5,740.39