Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,022.57 / $10,061.00 / $20,509.00	Facility		$3,022.57	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,489.83 / $3,022.57 / $16,450.90	Professional		$2,489.83	$3,022.57	$16,450.90
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 $3,958.18 / $5,006.34 / $9,761.12	Professional		$3,958.18	$5,006.34	$9,761.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $11,798.98	Facility		$63.50	$100.00	$11,798.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,012.00 / $3,146.33 / $7,610.52	Professional		$2,012.00	$3,146.33	$7,610.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,904.85 / $3,976.51 / $10,813.28	Professional		$2,904.85	$3,976.51	$10,813.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,906.18 / $2,884.61 / $4,254.79	Professional		$1,906.18	$2,884.61	$4,254.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,191.09 / $4,105.34 / $7,339.84	Professional		$3,191.09	$4,105.34	$7,339.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $36,965.76 / $45,308.76	Facility		$55.00	$36,965.76	$45,308.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,545.84 / $23,227.76 / $29,095.13	Professional		$22,545.84	$23,227.76	$29,095.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,996.80 / $3,948.16 / $5,408.91	Facility		$2,996.80	$3,948.16	$5,408.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,922.72 / $4,125.67 / $9,158.62	Professional		$2,922.72	$4,125.67	$9,158.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,207.45 / $10,207.45 / $10,207.45	Professional		$10,207.45	$10,207.45	$10,207.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,906.18 / $3,211.45 / $3,925.11	Professional		$1,906.18	$3,211.45	$3,925.11
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 $2,633.69 / $3,695.54 / $10,699.07	Professional		$2,633.69	$3,695.54	$10,699.07