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 $656.74 / $764.85 / $4,107.25	Professional		$656.74	$764.85	$4,107.25
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 $875.89 / $1,104.31 / $2,203.58	Professional		$875.89	$1,104.31	$2,203.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,343.60	Facility		$66.00	$100.00	$7,343.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $547.55 / $782.67 / $1,753.44	Professional		$547.55	$782.67	$1,753.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $3,101.23 / $5,554.45	Facility		$2,813.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.33 / $974.33 / $2,129.42	Professional		$747.33	$974.33	$2,129.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $612.42 / $919.30 / $2,214.06	Professional		$612.42	$919.30	$2,214.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.63 / $1,032.10 / $1,849.54	Professional		$756.63	$1,032.10	$1,849.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,960.60 / $8,957.00	Facility		$55.00	$2,960.60	$8,957.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,714.40 / $5,824.16 / $6,813.60	Professional		$5,714.40	$5,824.16	$6,813.60
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 $805.45 / $1,007.51 / $1,365.00	Facility		$805.45	$1,007.51	$1,365.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $777.05 / $1,023.05 / $2,098.90	Professional		$777.05	$1,023.05	$2,098.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,548.46 / $2,548.46 / $2,548.46	Professional		$2,548.46	$2,548.46	$2,548.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.92 / $834.66 / $1,041.14	Professional		$741.92	$834.66	$1,041.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,267.00 / $26,109.00	Facility		$5,416.00	$12,267.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.60 / $810.79 / $1,770.10	Professional		$615.60	$810.79	$1,770.10