Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $8,090.00 / $18,483.00	Facility		$1,992.00	$8,090.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,483.69 / $1,575.65 / $6,249.72	Professional		$1,483.69	$1,575.65	$6,249.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $11,046.00 / $22,647.86	Facility		$4,446.00	$11,046.00	$22,647.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,746.64 / $2,415.60 / $4,683.43	Professional		$1,746.64	$2,415.60	$4,683.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $7,340.45	Facility		$64.00	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,186.55 / $1,703.90 / $3,878.49	Professional		$1,186.55	$1,703.90	$3,878.49
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 $1,506.77 / $2,063.55 / $4,489.38	Professional		$1,506.77	$2,063.55	$4,489.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.75 / $1,538.64 / $2,356.50	Professional		$1,016.75	$1,538.64	$2,356.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,503.66 / $2,108.83 / $3,894.87	Professional		$1,503.66	$2,108.83	$3,894.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,812.32 / $15,118.40	Facility		$55.00	$14,812.32	$15,118.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,308.48 / $14,308.48 / $14,308.48	Professional		$14,308.48	$14,308.48	$14,308.48
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 $1,671.36 / $2,094.85 / $3,259.94	Facility		$1,671.36	$2,094.85	$3,259.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,516.25 / $2,136.53 / $4,345.14	Professional		$1,516.25	$2,136.53	$4,345.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,384.35 / $5,384.35 / $5,384.35	Professional		$5,384.35	$5,384.35	$5,384.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,321.78 / $1,713.40 / $2,094.16	Professional		$1,321.78	$1,713.40	$2,094.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $12,341.00 / $26,451.00	Facility		$5,830.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,266.03 / $1,692.24 / $3,593.98	Professional		$1,266.03	$1,692.24	$3,593.98