Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,809.00	Facility		$1,820.00	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.05 / $801.76 / $3,281.41	Professional		$724.05	$801.76	$3,281.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.58 / $1,228.78 / $2,445.69	Professional		$973.58	$1,228.78	$2,445.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $694.78 / $995.57 / $2,216.11	Professional		$694.78	$995.57	$2,216.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,738.87 / $15,651.72	Facility		$2,277.00	$8,738.87	$15,651.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.98 / $1,088.09 / $2,340.33	Professional		$862.98	$1,088.09	$2,340.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $527.17 / $997.17 / $1,346.18	Professional		$527.17	$997.17	$1,346.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $1,122.85 / $2,011.72	Professional		$801.00	$1,122.85	$2,011.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,845.96 / $25,239.65 / $26,542.00	Facility		$4,845.96	$25,239.65	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,236.48 / $6,365.44 / $7,428.98	Professional		$6,236.48	$6,365.44	$7,428.98
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 $900.55 / $1,116.65 / $1,508.79	Facility		$900.55	$1,116.65	$1,508.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $862.98 / $1,165.79 / $2,299.26	Professional		$862.98	$1,165.79	$2,299.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,793.98 / $2,793.98 / $2,793.98	Professional		$2,793.98	$2,793.98	$2,793.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $685.33 / $905.31 / $1,106.49	Professional		$685.33	$905.31	$1,106.49
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,758.00 / $21,278.00	Facility		$5,116.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.68 / $909.00 / $2,118.39	Professional		$694.68	$909.00	$2,118.39