Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.64 / $9,639.00 / $20,509.00	Facility		$1,160.64	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.56 / $1,160.64 / $6,150.35	Professional		$956.56	$1,160.64	$6,150.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,455.00 / $23,026.50	Facility		$3,537.00	$9,455.00	$23,026.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,536.23 / $2,013.51 / $3,871.31	Professional		$1,536.23	$2,013.51	$3,871.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $757.66 / $1,178.06 / $2,871.76	Professional		$757.66	$1,178.06	$2,871.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,137.74 / $1,511.83 / $4,159.05	Professional		$1,137.74	$1,511.83	$4,159.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $939.69 / $1,346.33 / $1,615.60	Professional		$939.69	$1,346.33	$1,615.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,211.70 / $1,563.15 / $2,791.82	Professional		$1,211.70	$1,563.15	$2,791.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,743.10 / $14,254.40	Facility		$55.00	$11,743.10	$14,254.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,567.99 / $9,567.99 / $11,094.00	Professional		$9,567.99	$9,567.99	$11,094.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,225.33 / $1,533.55 / $2,167.69	Facility		$1,225.33	$1,533.55	$2,167.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,126.71 / $1,554.18 / $3,384.64	Professional		$1,126.71	$1,554.18	$3,384.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,816.19 / $3,816.19 / $3,816.19	Professional		$3,816.19	$3,816.19	$3,816.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $939.69 / $1,409.53 / $1,777.53	Professional		$939.69	$1,409.53	$1,777.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,243.00 / $10,979.00	Facility		$2,230.00	$4,243.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $986.17 / $1,437.44 / $3,996.41	Professional		$986.17	$1,437.44	$3,996.41