Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.49 / $9,639.00 / $20,509.00	Facility		$1,434.49	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.96 / $1,434.49 / $7,239.33	Professional		$1,219.96	$1,434.49	$7,239.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,521.00 / $27,257.00	Facility		$4,597.00	$11,521.00	$27,257.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,919.51 / $2,434.08 / $4,820.01	Professional		$1,919.51	$2,434.08	$4,820.01
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 $1,024.76 / $1,589.50 / $3,863.11	Professional		$1,024.76	$1,589.50	$3,863.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,383.85 / $1,803.27 / $5,164.68	Professional		$1,383.85	$1,803.27	$5,164.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.31 / $1,527.37 / $1,876.26	Professional		$1,009.31	$1,527.37	$1,876.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.20 / $1,803.46 / $3,259.54	Professional		$1,407.20	$1,803.46	$3,259.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,055.40 / $19,953.36	Facility		$55.00	$16,055.40	$19,953.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,192.37 / $16,192.37 / $16,192.37	Professional		$16,192.37	$16,192.37	$16,192.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,435.48 / $1,876.26 / $2,624.05	Facility		$1,435.48	$1,876.26	$2,624.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,370.19 / $1,844.00 / $3,915.19	Professional		$1,370.19	$1,844.00	$3,915.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,491.87 / $4,491.87 / $4,491.87	Professional		$4,491.87	$4,491.87	$4,491.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,009.31 / $1,513.96 / $1,909.22	Professional		$1,009.31	$1,513.96	$1,909.22
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 $1,178.28 / $1,759.13 / $5,302.88	Professional		$1,178.28	$1,759.13	$5,302.88