Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.74 / $9,639.00 / $20,509.00	Facility		$1,509.74	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,253.88 / $1,509.74 / $8,015.06	Professional		$1,253.88	$1,509.74	$8,015.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $11,223.00 / $26,368.88	Facility		$4,437.00	$11,223.00	$26,368.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,025.13 / $2,626.05 / $5,103.33	Professional		$2,025.13	$2,626.05	$5,103.33
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 $1,053.98 / $1,634.82 / $3,986.77	Professional		$1,053.98	$1,634.82	$3,986.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,485.23 / $1,983.30 / $5,462.73	Professional		$1,485.23	$1,983.30	$5,462.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,717.40 / $2,060.88	Professional		$1,191.35	$1,717.40	$2,060.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,549.48 / $2,020.50 / $3,591.08	Professional		$1,549.48	$2,020.50	$3,591.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,789.30 / $20,344.06	Facility		$55.00	$16,789.30	$20,344.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,186.28 / $11,363.12 / $14,428.65	Professional		$11,186.28	$11,363.12	$14,428.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,622.72 / $2,022.14 / $2,790.10	Facility		$1,622.72	$2,022.14	$2,790.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,485.23 / $2,062.82 / $4,393.25	Professional		$1,485.23	$2,062.82	$4,393.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,973.21 / $4,973.21 / $4,973.21	Professional		$4,973.21	$4,973.21	$4,973.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,787.04 / $2,253.60	Professional		$1,191.35	$1,787.04	$2,253.60
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 $1,292.49 / $1,846.40 / $5,105.35	Professional		$1,292.49	$1,846.40	$5,105.35