Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,654.04 / $9,639.00 / $20,509.00	Facility		$1,654.04	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,406.84 / $1,570.78 / $7,944.94	Professional		$1,406.84	$1,570.78	$7,944.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.88 / $8,981.00 / $19,204.00	Facility		$4,043.88	$8,981.00	$19,204.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,743.35 / $2,346.14 / $4,468.62	Professional		$1,743.35	$2,346.14	$4,468.62
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 $1,027.54 / $1,577.48 / $3,886.73	Professional		$1,027.54	$1,577.48	$3,886.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,484.11 / $1,971.02 / $5,995.40	Professional		$1,484.11	$1,971.02	$5,995.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,661.95 / $1,994.34	Professional		$1,265.08	$1,661.95	$1,994.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,495.76 / $1,914.31 / $3,447.86	Professional		$1,495.76	$1,914.31	$3,447.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,455.46 / $15,761.43	Facility		$55.00	$12,455.46	$15,761.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,894.00 / $12,894.00 / $12,894.00	Professional		$12,894.00	$12,894.00	$12,894.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.52 / $2,060.42 / $3,140.00	Facility		$1,548.52	$2,060.42	$3,140.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,501.05 / $1,977.42 / $4,273.49	Professional		$1,501.05	$1,977.42	$4,273.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,929.68 / $4,929.68 / $4,929.68	Professional		$4,929.68	$4,929.68	$4,929.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,844.85 / $2,393.04	Professional		$1,265.08	$1,844.85	$2,393.04
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 $1,223.04 / $1,844.30 / $5,940.34	Professional		$1,223.04	$1,844.30	$5,940.34