Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,800.37 / $10,051.00 / $20,509.00	Facility		$1,800.37	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.15 / $1,800.37 / $9,608.51	Professional		$1,501.15	$1,800.37	$9,608.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,425.90 / $3,148.93 / $6,109.00	Professional		$2,425.90	$3,148.93	$6,109.00
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 $1,270.60 / $1,969.41 / $4,806.18	Professional		$1,270.60	$1,969.41	$4,806.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,792.45 / $2,378.03 / $6,505.07	Professional		$1,792.45	$2,378.03	$6,505.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $1,786.54 / $2,446.96	Professional		$1,180.56	$1,786.54	$2,446.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,848.67 / $2,413.50 / $4,280.08	Professional		$1,848.67	$2,413.50	$4,280.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,932.40 / $26,548.56	Facility		$55.00	$21,932.40	$26,548.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,431.60 / $13,585.92 / $17,283.98	Professional		$13,431.60	$13,585.92	$17,283.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,945.49 / $2,375.08 / $3,342.45	Facility		$1,945.49	$2,375.08	$3,342.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,781.89 / $2,461.55 / $5,256.25	Professional		$1,781.89	$2,461.55	$5,256.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,961.90 / $5,961.90 / $5,961.90	Professional		$5,961.90	$5,961.90	$5,961.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $1,872.88 / $2,255.90	Professional		$1,180.56	$1,872.88	$2,255.90
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 $1,553.45 / $2,222.98 / $5,883.82	Professional		$1,553.45	$2,222.98	$5,883.82