Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,830.00 / $18,681.00	Facility		$2,197.85	$7,830.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.08 / $784.98 / $3,403.00	Professional		$651.08	$784.98	$3,403.00
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 $875.50 / $1,116.35 / $2,189.58	Professional		$875.50	$1,116.35	$2,189.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,035.69	Facility		$66.00	$100.00	$11,035.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $653.47 / $933.53 / $2,056.67	Professional		$653.47	$933.53	$2,056.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.07 / $981.42 / $2,110.69	Professional		$768.07	$981.42	$2,110.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $905.24 / $1,222.07	Professional		$590.47	$905.24	$1,222.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $1,013.94 / $1,843.17	Professional		$742.34	$1,013.94	$1,843.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,897.76 / $19,913.50 / $26,542.00	Facility		$2,897.76	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,617.84 / $5,722.48 / $6,654.15	Professional		$5,617.84	$5,722.48	$6,654.15
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 $815.37 / $1,042.65 / $1,417.50	Facility		$815.37	$1,042.65	$1,417.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $779.70 / $1,045.83 / $2,050.38	Professional		$779.70	$1,045.83	$2,050.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,501.80 / $2,501.80 / $2,501.80	Professional		$2,501.80	$2,501.80	$2,501.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $730.72 / $885.70 / $1,116.94	Professional		$730.72	$885.70	$1,116.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.00 / $798.66 / $1,706.14	Professional		$599.00	$798.66	$1,706.14