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 $791.68 / $965.63 / $5,186.77	Professional		$791.68	$965.63	$5,186.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.81 / $1,344.14 / $2,693.30	Professional		$1,018.81	$1,344.14	$2,693.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $12,565.69	Facility		$66.09	$100.00	$12,565.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $802.24 / $1,151.22 / $2,583.59	Professional		$802.24	$1,151.22	$2,583.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $6,894.76 / $12,348.83	Facility		$3,203.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $963.24 / $1,235.70 / $2,722.43	Professional		$963.24	$1,235.70	$2,722.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $418.09 / $1,243.95 / $1,679.33	Professional		$418.09	$1,243.95	$1,679.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.64 / $1,357.42 / $2,450.78	Professional		$971.64	$1,357.42	$2,450.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,819.12 / $19,913.50 / $26,542.00	Facility		$3,819.12	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,404.24 / $7,630.72 / $8,815.58	Professional		$7,404.24	$7,630.72	$8,815.58
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 $1,086.48 / $1,336.79 / $1,816.43	Facility		$1,086.48	$1,336.79	$1,816.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $970.99 / $1,344.19 / $2,663.49	Professional		$970.99	$1,344.19	$2,663.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,218.29 / $3,218.29 / $3,218.29	Professional		$3,218.29	$3,218.29	$3,218.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $543.52 / $896.32 / $1,381.28	Professional		$543.52	$896.32	$1,381.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,087.45 / $12,313.00 / $26,451.00	Facility		$6,087.45	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.78 / $1,013.04 / $2,208.17	Professional		$759.78	$1,013.04	$2,208.17