Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,008.00 / $20,509.00	Facility		$2,387.00	$9,008.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.29 / $1,268.72 / $5,411.00	Professional		$1,110.29	$1,268.72	$5,411.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,770.00 / $22,895.00	Facility		$3,585.00	$11,770.00	$22,895.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,526.51 / $2,054.33 / $3,808.73	Professional		$1,526.51	$2,054.33	$3,808.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,981.41	Facility		$66.00	$100.00	$5,981.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $928.45 / $1,432.72 / $3,489.77	Professional		$928.45	$1,432.72	$3,489.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.72 / $1,570.42 / $4,531.99	Professional		$1,196.72	$1,570.42	$4,531.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $656.68 / $1,361.45 / $1,633.74	Professional		$656.68	$1,361.45	$1,633.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,225.31 / $1,569.90 / $2,809.59	Professional		$1,225.31	$1,569.90	$2,809.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,040.55 / $10,899.50	Facility		$55.00	$8,040.55	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,936.87 / $9,209.36 / $10,460.48	Professional		$8,936.87	$9,209.36	$10,460.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,261.19 / $1,591.90 / $2,247.00	Facility		$1,261.19	$1,591.90	$2,247.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.49 / $1,602.73 / $3,529.66	Professional		$1,202.49	$1,602.73	$3,529.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,058.83 / $4,058.83 / $4,058.83	Professional		$4,058.83	$4,058.83	$4,058.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $656.68 / $1,116.35 / $1,510.33	Professional		$656.68	$1,116.35	$1,510.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.01 / $1,450.00 / $4,186.89	Professional		$1,015.01	$1,450.00	$4,186.89