Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,856.96 / $10,051.00 / $20,509.00	Facility		$1,856.96	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,606.91 / $1,763.64 / $9,171.95	Professional		$1,606.91	$1,763.64	$9,171.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $11,827.46 / $23,587.93	Facility		$4,734.00	$11,827.46	$23,587.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,805.81 / $2,468.94 / $4,951.79	Professional		$1,805.81	$2,468.94	$4,951.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $15,638.77	Facility		$64.20	$100.00	$15,638.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,325.81 / $2,070.69 / $5,014.99	Professional		$1,325.81	$2,070.69	$5,014.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,725.82 / $2,284.17 / $6,573.02	Professional		$1,725.82	$2,284.17	$6,573.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.63 / $1,982.23 / $2,378.67	Professional		$1,515.63	$1,982.23	$2,378.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,754.98 / $2,277.15 / $4,007.78	Professional		$1,754.98	$2,277.15	$4,007.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,271.75 / $24,511.56	Facility		$55.00	$19,271.75	$24,511.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,283.70 / $14,611.20	Professional		$14,283.70	$14,283.70	$14,611.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,792.67 / $2,362.17 / $3,600.00	Facility		$1,792.67	$2,362.17	$3,600.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,725.82 / $2,323.25 / $5,012.47	Professional		$1,725.82	$2,323.25	$5,012.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,691.03 / $5,691.03 / $5,691.03	Professional		$5,691.03	$5,691.03	$5,691.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,515.63 / $2,200.52 / $2,867.00	Professional		$1,515.63	$2,200.52	$2,867.00
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 $1,439.72 / $2,016.59 / $6,136.03	Professional		$1,439.72	$2,016.59	$6,136.03