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 $583.83 / $679.82 / $3,645.96	Professional		$583.83	$679.82	$3,645.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $9,447.00 / $18,544.00	Facility		$2,822.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.67 / $1,003.20 / $1,964.77	Professional		$779.67	$1,003.20	$1,964.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,796.81	Facility		$66.00	$100.00	$10,796.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $547.78 / $788.11 / $1,787.03	Professional		$547.78	$788.11	$1,787.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,101.23 / $3,106.72 / $5,554.45	Facility		$3,101.23	$3,106.72	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.98 / $881.11 / $1,895.74	Professional		$691.98	$881.11	$1,895.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $820.52 / $1,107.70	Professional		$379.37	$820.52	$1,107.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.87 / $918.00 / $1,646.44	Professional		$663.87	$918.00	$1,646.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,939.54 / $8,957.00 / $26,542.00	Facility		$3,939.54	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,074.72 / $5,175.84 / $6,044.48	Professional		$5,074.72	$5,175.84	$6,044.48
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 $735.85 / $906.15 / $1,248.94	Facility		$735.85	$906.15	$1,248.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $697.04 / $933.38 / $1,865.29	Professional		$697.04	$933.38	$1,865.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,262.25 / $2,262.25 / $2,262.25	Professional		$2,262.25	$2,262.25	$2,262.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $493.19 / $682.87 / $910.61	Professional		$493.19	$682.87	$910.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.89 / $722.52 / $1,545.25	Professional		$541.89	$722.52	$1,545.25