Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.08 / $9,639.00 / $20,509.00	Facility		$1,464.08	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,270.61 / $1,464.08 / $7,021.60	Professional		$1,270.61	$1,464.08	$7,021.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,474.00 / $23,206.36	Facility		$4,314.00	$10,474.00	$23,206.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,538.59 / $2,070.58 / $4,036.18	Professional		$1,538.59	$2,070.58	$4,036.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,714.18	Facility		$64.20	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $903.40 / $1,388.31 / $3,417.17	Professional		$903.40	$1,388.31	$3,417.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.06 / $1,740.59 / $5,293.08	Professional		$1,290.06	$1,740.59	$5,293.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $969.84 / $1,467.66 / $1,770.98	Professional		$969.84	$1,467.66	$1,770.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,328.24 / $1,698.79 / $3,057.29	Professional		$1,328.24	$1,698.79	$3,057.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,571.99 / $10,844.96	Facility		$55.00	$8,571.99	$10,844.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,685.76 / $9,901.20 / $11,047.20	Professional		$9,685.76	$9,901.20	$11,047.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,372.61 / $1,840.36 / $2,502.38	Facility		$1,372.61	$1,840.36	$2,502.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.74 / $1,752.48 / $3,780.80	Professional		$1,318.74	$1,752.48	$3,780.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,356.79 / $4,356.79 / $4,356.79	Professional		$4,356.79	$4,356.79	$4,356.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $969.84 / $1,454.76 / $1,834.57	Professional		$969.84	$1,454.76	$1,834.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,465.00 / $20,754.00	Facility		$2,009.00	$5,465.00	$20,754.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,079.97 / $1,618.90 / $4,384.13	Professional		$1,079.97	$1,618.90	$4,384.13