Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.72 / $772.88 / $4,007.46	Professional		$649.72	$772.88	$4,007.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.61 / $1,160.67 / $2,205.53	Professional		$919.61	$1,160.67	$2,205.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,187.67	Facility		$66.00	$100.00	$8,187.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $706.35 / $1,009.07 / $2,191.80	Professional		$706.35	$1,009.07	$2,191.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.34 / $1,085.79 / $2,116.42	Professional		$792.34	$1,085.79	$2,116.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $897.56 / $1,211.71	Professional		$505.96	$897.56	$1,211.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $727.36 / $1,006.73 / $1,804.40	Professional		$727.36	$1,006.73	$1,804.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,885.08 / $8,957.00 / $26,542.00	Facility		$2,885.08	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,283.54 / $6,490.90 / $6,638.18	Professional		$6,283.54	$6,490.90	$6,638.18
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 $820.18 / $1,077.07 / $1,496.71	Facility		$820.18	$1,077.07	$1,496.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $798.55 / $1,131.83 / $2,076.62	Professional		$798.55	$1,131.83	$2,076.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,486.55 / $2,486.55 / $2,486.55	Professional		$2,486.55	$2,486.55	$2,486.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $814.96 / $996.06	Professional		$657.74	$814.96	$996.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,267.00 / $26,109.00	Facility		$5,284.00	$12,267.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.52 / $841.85 / $1,823.74	Professional		$604.52	$841.85	$1,823.74