Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.07 / $10,061.00 / $20,509.00	Facility		$2,051.07	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.64 / $2,051.07 / $10,920.20	Professional		$1,708.64	$2,051.07	$10,920.20
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 $2,761.38 / $3,580.13 / $6,958.68	Professional		$2,761.38	$3,580.13	$6,958.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,460.82 / $2,267.11 / $5,525.64	Professional		$1,460.82	$2,267.11	$5,525.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,034.73 / $2,695.63 / $7,443.80	Professional		$2,034.73	$2,695.63	$7,443.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,679.45 / $2,321.06 / $2,785.27	Professional		$1,679.45	$2,321.06	$2,785.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,102.55 / $2,744.44 / $4,868.72	Professional		$2,102.55	$2,744.44	$4,868.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,239.51 / $40,225.12	Facility		$55.00	$33,239.51	$40,225.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,270.06 / $15,440.48 / $19,645.50	Professional		$15,270.06	$15,440.48	$19,645.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,213.06 / $2,753.60 / $3,794.74	Facility		$2,213.06	$2,753.60	$3,794.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,026.16 / $2,814.10 / $5,971.14	Professional		$2,026.16	$2,814.10	$5,971.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,775.77 / $6,775.77 / $6,775.77	Professional		$6,775.77	$6,775.77	$6,775.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,679.45 / $2,519.17 / $3,176.87	Professional		$1,679.45	$2,519.17	$3,176.87
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 $1,765.13 / $2,557.75 / $7,085.54	Professional		$1,765.13	$2,557.75	$7,085.54