Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,006.59 / $8,090.00 / $18,309.00	Facility		$2,006.59	$8,090.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.40 / $2,006.59 / $10,751.50	Professional		$1,686.40	$2,006.59	$10,751.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,474.00 / $21,865.69	Facility		$4,314.00	$10,474.00	$21,865.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,003.90 / $2,799.87 / $5,582.70	Professional		$2,003.90	$2,799.87	$5,582.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,208.49	Facility		$64.40	$100.00	$8,208.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,495.69 / $2,153.65 / $4,889.62	Professional		$1,495.69	$2,153.65	$4,889.62
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 $1,923.09 / $2,505.58 / $5,415.18	Professional		$1,923.09	$2,505.58	$5,415.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.46 / $1,625.98 / $2,905.78	Professional		$1,074.46	$1,625.98	$2,905.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,866.60 / $2,624.18 / $4,700.92	Professional		$1,866.60	$2,624.18	$4,700.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,574.96 / $18,941.84	Facility		$55.00	$18,574.96	$18,941.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,663.12 / $14,951.28 / $17,323.50	Professional		$14,663.12	$14,951.28	$17,323.50
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 $2,099.34 / $2,602.71 / $3,454.50	Facility		$2,099.34	$2,602.71	$3,454.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,923.09 / $2,610.15 / $5,408.07	Professional		$1,923.09	$2,610.15	$5,408.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,671.08 / $6,671.08 / $6,671.08	Professional		$6,671.08	$6,671.08	$6,671.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,396.80 / $1,934.02 / $2,579.69	Professional		$1,396.80	$1,934.02	$2,579.69
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.00 / $11,420.00 / $24,889.00	Facility		$6,456.00	$11,420.00	$24,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,598.95 / $2,130.31 / $4,777.50	Professional		$1,598.95	$2,130.31	$4,777.50