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 $635.89 / $767.04 / $4,129.27	Professional		$635.89	$767.04	$4,129.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.00 / $1,079.74 / $2,224.71	Professional		$817.00	$1,079.74	$2,224.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $901.17 / $2,040.79	Professional		$629.00	$901.17	$2,040.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $10,062.46 / $18,022.34	Facility		$2,277.00	$10,062.46	$18,022.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.97 / $969.76 / $2,149.00	Professional		$745.97	$969.76	$2,149.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $534.25 / $923.00 / $7,183.89	Professional		$534.25	$923.00	$7,183.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.58 / $1,036.13 / $1,856.76	Professional		$759.58	$1,036.13	$1,856.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,971.52 / $29,062.50	Facility		$55.00	$2,971.52	$29,062.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,736.72 / $5,848.40 / $6,838.05	Professional		$5,736.72	$5,848.40	$6,838.05
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 $821.59 / $1,025.57 / $1,364.81	Facility		$821.59	$1,025.57	$1,364.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $753.44 / $1,008.12 / $2,106.98	Professional		$753.44	$1,008.12	$2,106.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,562.13 / $2,562.13 / $2,562.13	Professional		$2,562.13	$2,562.13	$2,562.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $694.53 / $838.04 / $1,024.27	Professional		$694.53	$838.04	$1,024.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,377.00 / $26,451.00	Facility		$6,087.45	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.51 / $819.72 / $1,702.86	Professional		$616.51	$819.72	$1,702.86