Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.90 / $10,061.00 / $20,509.00	Facility		$2,421.90	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,146.39 / $2,532.62 / $12,890.80	Professional		$2,146.39	$2,532.62	$12,890.80
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 $3,281.60 / $4,237.39 / $8,269.62	Professional		$3,281.60	$4,237.39	$8,269.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $10,373.42	Facility		$63.50	$100.00	$10,373.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,763.44 / $2,738.74 / $6,670.34	Professional		$1,763.44	$2,738.74	$6,670.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,386.81 / $3,178.71 / $8,957.01	Professional		$2,386.81	$3,178.71	$8,957.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.52 / $2,716.87 / $3,260.24	Professional		$2,030.52	$2,716.87	$3,260.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,471.41 / $3,229.11 / $5,785.60	Professional		$2,471.41	$3,229.11	$5,785.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,394.48 / $35,542.19	Facility		$55.00	$29,394.48	$35,542.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,001.25 / $18,185.04 / $23,169.60	Professional		$18,001.25	$18,185.04	$23,169.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,598.96 / $3,154.67 / $4,346.99	Facility		$2,598.96	$3,154.67	$4,346.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,386.81 / $3,315.02 / $7,041.22	Professional		$2,386.81	$3,315.02	$7,041.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,998.49 / $7,998.49 / $7,998.49	Professional		$7,998.49	$7,998.49	$7,998.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,030.52 / $3,005.31 / $3,840.98	Professional		$2,030.52	$3,005.31	$3,840.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,136.69 / $3,009.28 / $8,361.16	Professional		$2,136.69	$3,009.28	$8,361.16