Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.36 / $10,051.00 / $20,509.00	Facility		$1,644.36	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.59 / $1,584.81 / $9,419.07	Professional		$1,464.59	$1,584.81	$9,419.07
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 $2,376.01 / $3,042.47 / $5,617.66	Professional		$2,376.01	$3,042.47	$5,617.66
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 $1,167.22 / $1,804.39 / $4,415.07	Professional		$1,167.22	$1,804.39	$4,415.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,592.92 / $2,262.48 / $6,099.59	Professional		$1,592.92	$2,262.48	$6,099.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,914.43 / $2,424.80	Professional		$1,265.08	$1,914.43	$2,424.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,822.29 / $2,375.92 / $4,223.71	Professional		$1,822.29	$2,375.92	$4,223.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,532.08 / $26,107.32	Facility		$55.00	$21,532.08	$26,107.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,979.56 / $15,979.56 / $16,961.18	Professional		$15,979.56	$15,979.56	$16,961.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,864.34 / $2,340.23 / $3,532.50	Facility		$1,864.34	$2,340.23	$3,532.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,592.92 / $2,337.92 / $5,029.80	Professional		$1,592.92	$2,337.92	$5,029.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,844.35 / $5,844.35 / $5,844.35	Professional		$5,844.35	$5,844.35	$5,844.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,897.61 / $2,393.04	Professional		$1,265.08	$1,897.61	$2,393.04
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 $1,518.73 / $2,169.60 / $5,585.05	Professional		$1,518.73	$2,169.60	$5,585.05