Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,423.00 / $17,030.00	Facility		$1,919.00	$6,423.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.84 / $1,205.52 / $6,759.10	Professional		$1,097.84	$1,205.52	$6,759.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,140.00 / $14,981.00	Facility		$2,456.00	$7,140.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $1,815.75 / $3,646.44	Professional		$1,260.00	$1,815.75	$3,646.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,373.15	Facility		$66.00	$100.00	$7,373.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,042.02 / $1,506.63 / $3,316.90	Professional		$1,042.02	$1,506.63	$3,316.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $5,729.24 / $10,261.32	Facility		$1,992.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.72 / $1,612.94 / $3,530.82	Professional		$1,240.72	$1,612.94	$3,530.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $598.29 / $1,394.93 / $1,883.16	Professional		$598.29	$1,394.93	$1,883.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,121.90 / $1,574.65 / $2,867.09	Professional		$1,121.90	$1,574.65	$2,867.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,723.36 / $16,394.00 / $16,547.20	Facility		$6,723.36	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,976.00 / $9,976.00 / $10,130.40	Professional		$9,976.00	$9,976.00	$10,130.40
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 $1,278.75 / $1,617.51 / $2,253.30	Facility		$1,278.75	$1,617.51	$2,253.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,240.72 / $1,660.38 / $3,388.45	Professional		$1,240.72	$1,660.38	$3,388.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,193.89 / $4,193.89 / $4,193.89	Professional		$4,193.89	$4,193.89	$4,193.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $777.77 / $1,126.65 / $1,549.14	Professional		$777.77	$1,126.65	$1,549.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.17 / $1,358.71 / $3,014.48	Professional		$1,017.17	$1,358.71	$3,014.48