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 $853.31 / $1,029.98 / $5,677.85	Professional		$853.31	$1,029.98	$5,677.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.73 / $1,408.65 / $2,834.34	Professional		$1,124.73	$1,408.65	$2,834.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $742.42 / $1,061.58 / $2,418.28	Professional		$742.42	$1,061.58	$2,418.28
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 $980.82 / $1,275.82 / $2,872.62	Professional		$980.82	$1,275.82	$2,872.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $818.05 / $1,594.48	Professional		$540.58	$818.05	$1,594.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,048.77 / $1,456.63 / $2,629.54	Professional		$1,048.77	$1,456.63	$2,629.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,671.11 / $11,923.56	Facility		$55.00	$11,671.11	$11,923.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,990.48 / $8,158.32 / $10,254.08	Professional		$7,990.48	$8,158.32	$10,254.08
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 $1,120.00 / $1,383.83 / $1,866.71	Facility		$1,120.00	$1,383.83	$1,866.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $990.53 / $1,353.00 / $2,944.93	Professional		$990.53	$1,353.00	$2,944.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,523.00 / $3,523.00 / $3,523.00	Professional		$3,523.00	$3,523.00	$3,523.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $702.75 / $1,027.38 / $1,412.65	Professional		$702.75	$1,027.38	$1,412.65
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $843.66 / $1,087.10 / $2,441.10	Professional		$843.66	$1,087.10	$2,441.10