Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,870.00 / $19,368.00	Facility		$2,616.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.98 / $1,204.52 / $6,623.60	Professional		$1,067.98	$1,204.52	$6,623.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.99 / $1,777.07 / $3,535.49	Professional		$1,407.99	$1,777.07	$3,535.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,336.71	Facility		$66.00	$100.00	$6,336.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $972.03 / $1,398.89 / $3,168.92	Professional		$972.03	$1,398.89	$3,168.92
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 $1,179.33 / $1,558.18 / $3,395.39	Professional		$1,179.33	$1,558.18	$3,395.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,352.16 / $1,795.45	Professional		$893.52	$1,352.16	$1,795.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.40 / $1,606.28 / $2,967.12	Professional		$1,145.40	$1,606.28	$2,967.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,789.66 / $13,960.05	Facility		$55.00	$6,789.66	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,942.49 / $14,942.49 / $14,942.49	Professional		$14,942.49	$14,942.49	$14,942.49
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 $1,278.00 / $1,609.48 / $2,380.98	Facility		$1,278.00	$1,609.48	$2,380.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,187.99 / $1,601.97 / $3,269.86	Professional		$1,187.99	$1,601.97	$3,269.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,109.82 / $4,109.82 / $4,109.82	Professional		$4,109.82	$4,109.82	$4,109.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,160.42 / $1,340.28 / $1,690.20	Professional		$1,160.42	$1,340.28	$1,690.20
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 $966.07 / $1,300.93 / $2,785.97	Professional		$966.07	$1,300.93	$2,785.97