Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $10,232.93 / $17,378.01	Facility		$3,467.37	$10,232.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,884.03	Professional		$1,621.81	$2,041.74	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,309.57 / $12,589.25	Facility		$3,235.94	$6,309.57	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,630.78	Professional		$1,513.56	$2,041.74	$3,630.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $6,456.54 / $26,915.35	Facility		$69.18	$6,456.54	$26,915.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $5,011.87	Professional		$1,479.11	$1,949.84	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,168.69 / $8,317.64	Facility		$1,698.24	$4,168.69	$8,317.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $3,388.44	Professional		$1,995.26	$2,754.23	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $4,365.16	Professional		$2,238.72	$2,754.23	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $18,620.87 / $18,620.87	Professional		$12,589.25	$18,620.87	$18,620.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $6,456.54	Facility		$2,041.74	$3,019.95	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $3,630.78	Professional		$2,511.89	$2,754.23	$3,630.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $30,199.52	Professional		$1,995.26	$2,511.89	$30,199.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,511.89 / $2,511.89	Facility		$1,047.13	$2,511.89	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $4,786.30	Professional		$1,047.13	$1,174.90	$4,786.30