Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,256.86 / $10,051.00 / $20,509.00	Facility		$2,256.86	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,031.51 / $2,434.66 / $14,309.50	Professional		$2,031.51	$2,434.66	$14,309.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $15,673.00 / $49,214.59	Facility		$5,486.00	$15,673.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,786.18 / $3,618.44 / $6,951.67	Professional		$2,786.18	$3,618.44	$6,951.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $12,942.43	Facility		$64.40	$100.00	$12,942.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,989.18 / $2,863.38 / $6,502.92	Professional		$1,989.18	$2,863.38	$6,502.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,425.06 / $3,304.65 / $7,304.96	Professional		$2,425.06	$3,304.65	$7,304.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,305.65 / $3,069.01 / $4,143.16	Professional		$2,305.65	$3,069.01	$4,143.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,484.81 / $3,467.85 / $6,260.10	Professional		$2,484.81	$3,467.85	$6,260.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,797.44 / $22,266.37	Facility		$55.00	$21,797.44	$22,266.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,642.09 / $20,642.09 / $23,401.88	Professional		$20,642.09	$20,642.09	$23,401.88
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 $2,667.58 / $3,361.55 / $4,875.93	Facility		$2,667.58	$3,361.55	$4,875.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,491.69 / $3,507.56 / $7,277.07	Professional		$2,491.69	$3,507.56	$7,277.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,878.76 / $8,878.76 / $8,878.76	Professional		$8,878.76	$8,878.76	$8,878.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,475.85 / $3,404.29 / $4,361.42	Professional		$2,475.85	$3,404.29	$4,361.42
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $42,098.00	Facility		$8,830.00	$18,191.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,038.71 / $2,653.98 / $5,893.39	Professional		$2,038.71	$2,653.98	$5,893.39