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 $656.72 / $767.10 / $4,104.62	Professional		$656.72	$767.10	$4,104.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,644.00 / $18,544.00	Facility		$3,028.00	$9,644.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.38 / $1,113.68 / $2,183.62	Professional		$882.38	$1,113.68	$2,183.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,847.40	Facility		$66.00	$100.00	$11,847.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $625.24 / $906.85 / $2,032.76	Professional		$625.24	$906.85	$2,032.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $9,917.32 / $17,762.37	Facility		$3,203.00	$9,917.32	$17,762.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.39 / $979.29 / $2,132.48	Professional		$764.39	$979.29	$2,132.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $404.69 / $923.68 / $1,246.97	Professional		$404.69	$923.68	$1,246.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $747.66 / $1,034.27 / $1,854.60	Professional		$747.66	$1,034.27	$1,854.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,960.76 / $26,542.00 / $28,643.25	Facility		$2,960.76	$26,542.00	$28,643.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,864.72 / $5,864.72 / $6,813.90	Professional		$5,864.72	$5,864.72	$6,813.90
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 $828.79 / $1,034.27 / $1,477.89	Facility		$828.79	$1,034.27	$1,477.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $779.32 / $1,020.13 / $2,101.59	Professional		$779.32	$1,020.13	$2,101.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,546.83 / $2,546.83 / $2,546.83	Professional		$2,546.83	$2,546.83	$2,546.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $526.10 / $745.52 / $1,025.08	Professional		$526.10	$745.52	$1,025.08
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 $618.15 / $813.97 / $1,754.07	Professional		$618.15	$813.97	$1,754.07