Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,319.00 / $17,809.00	Facility		$1,919.00	$6,319.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.37 / $758.88 / $2,952.24	Professional		$665.37	$758.88	$2,952.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.39 / $817.08 / $1,862.50	Professional		$647.39	$817.08	$1,862.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $742.90 / $1,767.65	Professional		$507.50	$742.90	$1,767.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.87 / $937.63 / $2,156.36	Professional		$734.87	$937.63	$2,156.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $548.40 / $913.29 / $1,095.95	Professional		$548.40	$913.29	$1,095.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.21 / $1,010.75 / $1,845.32	Professional		$733.21	$1,010.75	$1,845.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.96 / $11,500.00 / $16,394.00	Facility		$2,961.96	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,764.80 / $5,874.88 / $6,772.73	Professional		$5,764.80	$5,874.88	$6,772.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $682.48 / $951.48 / $1,258.34	Facility		$682.48	$951.48	$1,258.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.37 / $976.23 / $2,099.54	Professional		$741.37	$976.23	$2,099.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,588.92 / $2,588.92 / $2,588.92	Professional		$2,588.92	$2,588.92	$2,588.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $691.57 / $899.05 / $1,175.67	Professional		$691.57	$899.05	$1,175.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,213.00 / $9,131.00	Facility		$2,230.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.30 / $827.64 / $1,950.22	Professional		$618.30	$827.64	$1,950.22