Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,588.00 / $17,133.00	Facility		$1,820.00	$6,588.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.09 / $968.76 / $4,853.75	Professional		$508.09	$968.76	$4,853.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,328.00	Facility		$2,696.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.51 / $1,384.56 / $2,828.73	Professional		$1,122.51	$1,384.56	$2,828.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,208.49	Facility		$66.00	$100.00	$8,208.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $806.90 / $1,167.19 / $2,710.67	Professional		$806.90	$1,167.19	$2,710.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.59 / $1,286.03 / $2,932.66	Professional		$979.59	$1,286.03	$2,932.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $915.49 / $1,175.73 / $1,587.24	Professional		$915.49	$1,175.73	$1,587.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.15 / $1,295.52 / $2,446.59	Professional		$944.15	$1,295.52	$2,446.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,102.00	Facility		$55.00	$55.00	$11,102.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,430.40 / $7,602.32 / $8,697.60	Professional		$7,430.40	$7,602.32	$8,697.60
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 $932.07 / $1,248.41 / $1,620.56	Facility		$932.07	$1,248.41	$1,620.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $993.90 / $1,322.70 / $2,732.34	Professional		$993.90	$1,322.70	$2,732.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,394.49 / $3,394.49 / $3,394.49	Professional		$3,394.49	$3,394.49	$3,394.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,281.68 / $1,556.33	Professional		$949.10	$1,281.68	$1,556.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,810.00 / $21,278.00	Facility		$5,670.00	$9,810.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.38 / $1,087.08 / $2,543.96	Professional		$808.38	$1,087.08	$2,543.96