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 $846.96 / $1,017.12 / $5,282.14	Professional		$846.96	$1,017.12	$5,282.14
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 $1,105.80 / $1,483.80 / $2,870.48	Professional		$1,105.80	$1,483.80	$2,870.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,343.54	Facility		$66.00	$100.00	$8,343.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $972.71 / $1,407.77 / $2,996.49	Professional		$972.71	$1,407.77	$2,996.49
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 $1,007.70 / $1,369.81 / $2,781.41	Professional		$1,007.70	$1,369.81	$2,781.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,178.11 / $1,590.46	Professional		$505.96	$1,178.11	$1,590.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $941.01 / $1,324.60 / $2,372.73	Professional		$941.01	$1,324.60	$2,372.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,802.92 / $8,957.00 / $26,542.00	Facility		$3,802.92	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,477.25 / $7,486.96 / $8,750.03	Professional		$7,477.25	$7,486.96	$8,750.03
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 $1,059.75 / $1,312.61 / $1,884.99	Facility		$1,059.75	$1,312.61	$1,884.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,027.35 / $1,426.89 / $2,710.05	Professional		$1,027.35	$1,426.89	$2,710.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,277.46 / $3,277.46 / $3,277.46	Professional		$3,277.46	$3,277.46	$3,277.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $657.74 / $950.78 / $1,307.33	Professional		$657.74	$950.78	$1,307.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.54 / $1,098.96 / $2,281.09	Professional		$794.54	$1,098.96	$2,281.09