Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,206.65 / $10,061.00 / $20,509.00	Facility		$2,206.65	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,842.52 / $2,206.65 / $11,806.40	Professional		$1,842.52	$2,206.65	$11,806.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $13,419.17 / $28,633.72	Facility		$5,540.00	$13,419.17	$28,633.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,980.37 / $3,860.05 / $7,510.54	Professional		$2,980.37	$3,860.05	$7,510.54
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 $1,597.30 / $2,483.07 / $6,041.91	Professional		$1,597.30	$2,483.07	$6,041.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,186.03 / $2,917.16 / $8,105.39	Professional		$2,186.03	$2,917.16	$8,105.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,602.38 / $2,424.88 / $2,997.56	Professional		$1,602.38	$2,424.88	$2,997.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,268.02 / $2,961.90 / $5,249.18	Professional		$2,268.02	$2,961.90	$5,249.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,935.44 / $32,585.88	Facility		$55.00	$26,935.44	$32,585.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,482.00 / $16,675.43 / $21,227.10	Professional		$16,482.00	$16,675.43	$21,227.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,385.98 / $2,974.82 / $4,107.81	Facility		$2,385.98	$2,974.82	$4,107.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,186.03 / $3,036.15 / $6,457.44	Professional		$2,186.03	$3,036.15	$6,457.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,325.69 / $7,325.69 / $7,325.69	Professional		$7,325.69	$7,325.69	$7,325.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,602.38 / $2,403.57 / $3,031.09	Professional		$1,602.38	$2,403.57	$3,031.09
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 $1,954.96 / $2,767.03 / $7,184.05	Professional		$1,954.96	$2,767.03	$7,184.05