Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.33 / $626.91 / $3,402.83	Professional		$558.33	$626.91	$3,402.83
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 $748.30 / $954.90 / $1,846.02	Professional		$748.30	$954.90	$1,846.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,714.18	Facility		$64.40	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $532.29 / $774.24 / $1,694.82	Professional		$532.29	$774.24	$1,694.82
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 $645.86 / $823.65 / $1,822.59	Professional		$645.86	$823.65	$1,822.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $488.46 / $739.18 / $933.41	Professional		$488.46	$739.18	$933.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $609.22 / $830.34 / $1,534.01	Professional		$609.22	$830.34	$1,534.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,521.70 / $4,393.14	Facility		$2,000.00	$3,521.70	$4,393.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,358.53 / $5,563.75 / $5,747.35	Professional		$5,358.53	$5,563.75	$5,747.35
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 $676.91 / $879.98 / $1,267.44	Facility		$676.91	$879.98	$1,267.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $646.21 / $866.16 / $1,732.39	Professional		$646.21	$866.16	$1,732.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,111.40 / $2,111.40 / $2,111.40	Professional		$2,111.40	$2,111.40	$2,111.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $603.08 / $732.69 / $923.98	Professional		$603.08	$732.69	$923.98
United Facility/Professional Facility Modifier Low / Median / High Price $6,142.00 / $12,377.00 / $26,451.00	Facility		$6,142.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.60 / $678.28 / $1,578.45	Professional		$516.60	$678.28	$1,578.45