Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.32 / $735.38 / $3,915.62	Professional		$626.32	$735.38	$3,915.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,707.00	Facility		$2,143.00	$5,977.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.57 / $1,081.00 / $2,129.07	Professional		$846.57	$1,081.00	$2,129.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,373.15	Facility		$66.00	$100.00	$7,373.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $615.62 / $885.70 / $1,959.61	Professional		$615.62	$885.70	$1,959.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,894.76 / $12,348.83	Facility		$1,992.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.20 / $967.75 / $2,044.90	Professional		$750.20	$967.75	$2,044.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $778.48 / $934.18 / $1,472.58	Professional		$778.48	$934.18	$1,472.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.24 / $984.83 / $1,765.48	Professional		$722.24	$984.83	$1,765.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,528.30 / $16,394.00 / $19,913.50	Facility		$3,528.30	$16,394.00	$19,913.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,013.62 / $6,212.07 / $6,497.93	Professional		$6,013.62	$6,212.07	$6,497.93
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 $788.78 / $1,006.21 / $1,466.40	Facility		$788.78	$1,006.21	$1,466.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $751.31 / $1,037.64 / $2,000.96	Professional		$751.31	$1,037.64	$2,000.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,429.57 / $2,429.57 / $2,429.57	Professional		$2,429.57	$2,429.57	$2,429.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $778.48 / $974.80 / $1,472.59	Professional		$778.48	$974.80	$1,472.59
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 $582.39 / $777.34 / $1,658.98	Professional		$582.39	$777.34	$1,658.98