Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,859.00 / $19,368.00	Facility		$2,387.00	$8,859.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.72 / $927.38 / $4,902.71	Professional		$783.72	$927.38	$4,902.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,816.00 / $18,595.00	Facility		$3,028.00	$9,816.00	$18,595.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,056.68 / $1,333.67 / $2,662.83	Professional		$1,056.68	$1,333.67	$2,662.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $13,813.69	Facility		$66.00	$100.00	$13,813.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $756.39 / $1,085.45 / $2,420.56	Professional		$756.39	$1,085.45	$2,420.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $19,723.14 / $35,325.01	Facility		$2,277.00	$19,723.14	$35,325.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.90 / $1,174.66 / $2,544.64	Professional		$913.90	$1,174.66	$2,544.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $844.38 / $1,088.09 / $1,597.25	Professional		$844.38	$1,088.09	$1,597.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.14 / $1,225.20 / $2,195.19	Professional		$882.14	$1,225.20	$2,195.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,526.00 / $26,542.00 / $56,964.45	Facility		$3,526.00	$26,542.00	$56,964.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,802.24 / $6,937.60 / $8,111.63	Professional		$6,802.24	$6,937.60	$8,111.63
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 $982.57 / $1,239.33 / $1,646.40	Facility		$982.57	$1,239.33	$1,646.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $921.23 / $1,220.09 / $2,507.71	Professional		$921.23	$1,220.09	$2,507.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,042.02 / $3,042.02 / $3,042.02	Professional		$3,042.02	$3,042.02	$3,042.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $878.08 / $1,207.35 / $1,597.24	Professional		$878.08	$1,207.35	$1,597.24
United Facility/Professional Facility Modifier Low / Median / High Price $9,252.00 / $18,330.00 / $42,098.00	Facility		$9,252.00	$18,330.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.18 / $974.53 / $2,074.94	Professional		$732.18	$974.53	$2,074.94