Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,674.00 / $21,960.90	Facility		$2,645.00	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.82 / $1,110.97 / $5,962.50	Professional		$927.82	$1,110.97	$5,962.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,276.00 / $22,145.00	Facility		$3,585.00	$11,276.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.15 / $1,681.98 / $3,234.95	Professional		$1,298.15	$1,681.98	$3,234.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,885.07	Facility		$66.00	$100.00	$15,885.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $913.02 / $1,308.78 / $2,906.29	Professional		$913.02	$1,308.78	$2,906.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,445.00 / $6,894.76 / $12,348.83	Facility		$4,445.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,142.00 / $1,431.67 / $3,068.83	Professional		$1,142.00	$1,431.67	$3,068.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $957.93 / $1,301.74 / $1,812.03	Professional		$957.93	$1,301.74	$1,812.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.88 / $1,470.66 / $2,636.52	Professional		$1,058.88	$1,470.66	$2,636.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,381.42 / $19,913.50 / $26,542.00	Facility		$6,381.42	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,602.26 / $8,602.26 / $9,775.58	Professional		$8,602.26	$8,602.26	$9,775.58
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 $1,141.06 / $1,457.83 / $1,983.56	Facility		$1,141.06	$1,457.83	$1,983.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,142.14 / $1,518.56 / $3,031.54	Professional		$1,142.14	$1,518.56	$3,031.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,699.63 / $3,699.63 / $3,699.63	Professional		$3,699.63	$3,699.63	$3,699.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,050.39 / $1,436.89 / $1,812.04	Professional		$1,050.39	$1,436.89	$1,812.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,341.00 / $26,109.00	Facility		$6,087.45	$12,341.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $890.74 / $1,172.83 / $2,486.42	Professional		$890.74	$1,172.83	$2,486.42