Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,782.00 / $19,331.00	Facility		$2,421.00	$8,782.00	$19,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.78 / $1,114.70 / $4,589.38	Professional		$917.78	$1,114.70	$4,589.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,034.58 / $1,034.58 / $1,034.58	Professional		$1,034.58	$1,034.58	$1,034.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,484.00 / $17,774.00	Facility		$2,275.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.48 / $1,556.06 / $2,991.80	Professional		$1,073.48	$1,556.06	$2,991.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $830.64 / $1,200.57 / $2,771.85	Professional		$830.64	$1,200.57	$2,771.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.73 / $1,401.73 / $1,401.73	Professional		$1,401.73	$1,401.73	$1,401.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $454.95 / $1,356.80 / $1,831.68	Professional		$454.95	$1,356.80	$1,831.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,068.08 / $1,420.57 / $2,632.00	Professional		$1,068.08	$1,420.57	$2,632.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,256.27 / $9,348.85 / $26,542.00	Facility		$7,256.27	$9,348.85	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,284.24 / $8,521.60 / $9,380.54	Professional		$8,284.24	$8,521.60	$9,380.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,181.07 / $1,476.02 / $2,009.88	Facility		$1,181.07	$1,476.02	$2,009.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,154.41 / $2,152.96 / $3,148.30	Professional		$1,154.41	$2,152.96	$3,148.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,768.10 / $3,768.10 / $3,768.10	Professional		$3,768.10	$3,768.10	$3,768.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $573.73 / $818.91 / $1,507.87	Professional		$573.73	$818.91	$1,507.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,758.00 / $21,278.00	Facility		$4,509.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.68 / $1,170.72 / $2,943.61	Professional		$894.68	$1,170.72	$2,943.61