Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $8,689.00 / $19,331.00	Facility		$2,231.07	$8,689.00	$19,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.30 / $1,367.15 / $6,786.30	Professional		$979.30	$1,367.15	$6,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $9,256.00 / $18,544.00	Facility		$2,400.00	$9,256.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.82 / $1,605.38 / $3,121.14	Professional		$1,101.82	$1,605.38	$3,121.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,117.03	Facility		$66.00	$100.00	$11,117.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $855.87 / $1,237.33 / $2,839.98	Professional		$855.87	$1,237.33	$2,839.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.88 / $2,859.91 / $3,898.23	Facility		$802.88	$2,859.91	$3,898.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.66 / $1,488.69 / $3,429.39	Professional		$1,090.66	$1,488.69	$3,429.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,621.73 / $2,189.34	Professional		$843.26	$1,621.73	$2,189.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,259.51 / $1,677.21 / $3,148.00	Professional		$1,259.51	$1,677.21	$3,148.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,236.72 / $11,500.00 / $26,542.00	Facility		$7,236.72	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,548.90 / $10,548.90 / $10,973.10	Professional		$10,548.90	$10,548.90	$10,973.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,361.00 / $1,708.46 / $2,519.40	Facility		$1,361.00	$1,708.46	$2,519.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,129.58 / $1,630.10 / $3,575.13	Professional		$1,129.58	$1,630.10	$3,575.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,210.77 / $4,210.77 / $4,210.77	Professional		$4,210.77	$4,210.77	$4,210.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,063.42 / $1,433.54 / $1,807.81	Professional		$1,063.42	$1,433.54	$1,807.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.33 / $1,239.41 / $2,794.55	Professional		$971.33	$1,239.41	$2,794.55