Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.58 / $9,639.00 / $20,509.00	Facility		$1,198.58	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.82 / $1,092.15 / $7,446.49	Professional		$1,042.82	$1,092.15	$7,446.49
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 $1,668.01 / $2,186.23 / $4,203.38	Professional		$1,668.01	$2,186.23	$4,203.38
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 $842.07 / $1,296.23 / $3,185.17	Professional		$842.07	$1,296.23	$3,185.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.05 / $1,760.32 / $4,603.62	Professional		$1,123.05	$1,760.32	$4,603.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,614.87 / $1,937.84	Professional		$1,116.90	$1,614.87	$1,937.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,453.38 / $1,886.29 / $3,361.45	Professional		$1,453.38	$1,886.29	$3,361.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,047.80 / $20,682.59	Facility		$55.00	$17,047.80	$20,682.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,601.75 / $10,601.75 / $13,424.70	Professional		$10,601.75	$10,601.75	$13,424.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,382.93 / $1,814.80 / $2,601.06	Facility		$1,382.93	$1,814.80	$2,601.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,155.00 / $1,788.66 / $3,981.25	Professional		$1,155.00	$1,788.66	$3,981.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,620.39 / $4,620.39 / $4,620.39	Professional		$4,620.39	$4,620.39	$4,620.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,675.35 / $2,112.75	Professional		$1,116.90	$1,675.35	$2,112.75
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 $1,111.76 / $1,653.07 / $4,743.16	Professional		$1,111.76	$1,653.07	$4,743.16