Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.51 / $6,631.00 / $17,393.00	Facility		$1,587.51	$6,631.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.84 / $828.52 / $4,605.75	Professional		$735.84	$828.52	$4,605.75
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 $696.95 / $927.76 / $2,502.69	Professional		$696.95	$927.76	$2,502.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $540.86 / $789.96 / $1,879.22	Professional		$540.86	$789.96	$1,879.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.14 / $1,017.19 / $2,383.42	Professional		$763.14	$1,017.19	$2,383.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.45 / $1,130.20 / $1,387.06	Professional		$1,027.45	$1,130.20	$1,387.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.95 / $1,122.10 / $2,057.84	Professional		$816.95	$1,122.10	$2,057.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,270.44 / $11,500.00 / $26,542.00	Facility		$3,270.44	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,353.20 / $6,470.64 / $7,504.88	Professional		$6,353.20	$6,470.64	$7,504.88
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 $788.52 / $1,093.00 / $1,496.61	Facility		$788.52	$1,093.00	$1,496.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.92 / $1,059.80 / $2,281.94	Professional		$794.92	$1,059.80	$2,281.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,857.79 / $2,857.79 / $2,857.79	Professional		$2,857.79	$2,857.79	$2,857.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,955.00 / $7,120.00 / $14,553.00	Facility		$3,955.00	$7,120.00	$14,553.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.41 / $884.23 / $1,950.12	Professional		$667.41	$884.23	$1,950.12