Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,494.00 / $18,309.00	Facility		$1,924.00	$7,494.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.48 / $806.78 / $4,415.27	Professional		$676.48	$806.78	$4,415.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,108.19 / $7,303.00 / $15,328.00	Facility		$3,108.19	$7,303.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.17 / $1,116.19 / $2,245.91	Professional		$868.17	$1,116.19	$2,245.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,100.20	Facility		$64.40	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $669.81 / $970.27 / $2,187.73	Professional		$669.81	$970.27	$2,187.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.21 / $1,048.85 / $2,288.35	Professional		$818.21	$1,048.85	$2,288.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $638.33 / $1,304.08	Professional		$421.82	$638.33	$1,304.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.80 / $1,138.31 / $2,055.31	Professional		$814.80	$1,138.31	$2,055.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,952.24 / $4,437.59	Facility		$55.00	$3,952.24	$4,437.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,207.60 / $6,399.12 / $7,395.00	Professional		$6,207.60	$6,399.12	$7,395.00
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 $898.80 / $1,105.76 / $1,512.73	Facility		$898.80	$1,105.76	$1,512.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $819.73 / $1,132.02 / $2,277.65	Professional		$819.73	$1,132.02	$2,277.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,739.58 / $2,739.58 / $2,739.58	Professional		$2,739.58	$2,739.58	$2,739.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $842.50 / $1,158.43	Professional		$548.36	$842.50	$1,158.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,713.00 / $21,278.00	Facility		$4,509.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.37 / $855.83 / $1,881.46	Professional		$648.37	$855.83	$1,881.46