Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.71 / $1,002.40 / $5,267.65	Professional		$890.71	$1,002.40	$5,267.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,222.52 / $1,531.12 / $2,860.47	Professional		$1,222.52	$1,531.12	$2,860.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,100.20	Facility		$64.40	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $823.97 / $1,180.26 / $2,622.81	Professional		$823.97	$1,180.26	$2,622.81
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 $1,028.35 / $1,312.11 / $2,675.39	Professional		$1,028.35	$1,312.11	$2,675.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.18 / $1,195.25 / $1,617.27	Professional		$1,078.18	$1,195.25	$1,617.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.18 / $1,266.91 / $2,334.64	Professional		$912.18	$1,266.91	$2,334.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,067.66 / $16,454.20	Facility		$55.00	$16,067.66	$16,454.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,908.28 / $11,477.92 / $11,477.92	Professional		$9,908.28	$11,477.92	$11,477.92
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 $1,053.31 / $1,313.41 / $1,960.00	Facility		$1,053.31	$1,313.41	$1,960.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,030.20 / $1,368.88 / $2,675.39	Professional		$1,030.20	$1,368.88	$2,675.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,268.49 / $3,268.49 / $3,268.49	Professional		$3,268.49	$3,268.49	$3,268.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $985.06 / $1,203.96 / $2,039.51	Professional		$985.06	$1,203.96	$2,039.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.79 / $1,116.45 / $2,225.67	Professional		$805.79	$1,116.45	$2,225.67