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 $940.14 / $1,122.21 / $5,841.94	Professional		$940.14	$1,122.21	$5,841.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,269.31 / $1,663.65 / $3,170.64	Professional		$1,269.31	$1,663.65	$3,170.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,565.69	Facility		$66.00	$100.00	$12,565.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $900.24 / $1,289.65 / $2,865.60	Professional		$900.24	$1,289.65	$2,865.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,894.76 / $12,348.83	Facility		$3,203.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.25 / $1,405.53 / $3,021.90	Professional		$1,121.25	$1,405.53	$3,021.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,282.84 / $1,731.85	Professional		$716.68	$1,282.84	$1,731.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.73 / $1,448.23 / $2,596.07	Professional		$1,029.73	$1,448.23	$2,596.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,277.86 / $19,913.50 / $26,542.00	Facility		$6,277.86	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,072.72 / $8,240.32 / $9,621.37	Professional		$8,072.72	$8,240.32	$9,621.37
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 $1,163.33 / $1,463.60 / $1,978.00	Facility		$1,163.33	$1,463.60	$1,978.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.77 / $1,469.67 / $2,985.72	Professional		$1,122.77	$1,469.67	$2,985.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,624.82 / $3,624.82 / $3,624.82	Professional		$3,624.82	$3,624.82	$3,624.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $931.68 / $1,164.56 / $1,423.35	Professional		$931.68	$1,164.56	$1,423.35
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $896.28 / $1,180.27 / $2,744.07	Professional		$896.28	$1,180.27	$2,744.07