Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,640.00 / $17,701.00	Facility		$1,820.00	$6,640.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.81 / $842.44 / $4,466.01	Professional		$680.81	$842.44	$4,466.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,007.00 / $14,981.00	Facility		$2,456.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $925.49 / $1,278.22 / $2,361.80	Professional		$925.49	$1,278.22	$2,361.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $721.13 / $1,043.55 / $2,345.14	Professional		$721.13	$1,043.55	$2,345.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $3,101.23 / $5,554.45	Facility		$2,277.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.06 / $1,073.07 / $2,350.12	Professional		$826.06	$1,073.07	$2,350.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $1,055.85 / $1,425.41	Professional		$421.82	$1,055.85	$1,425.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.44 / $1,151.66 / $2,079.57	Professional		$824.44	$1,151.66	$2,079.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,239.52 / $8,957.00 / $26,542.00	Facility		$3,239.52	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,279.60 / $6,470.80 / $7,479.08	Professional		$6,279.60	$6,470.80	$7,479.08
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 $878.76 / $1,142.11 / $1,598.85	Facility		$878.76	$1,142.11	$1,598.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $837.48 / $1,167.92 / $2,303.71	Professional		$837.48	$1,167.92	$2,303.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,771.08 / $2,771.08 / $2,771.08	Professional		$2,771.08	$2,771.08	$2,771.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $852.68 / $1,172.44	Professional		$548.36	$852.68	$1,172.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.72 / $873.72 / $1,903.16	Professional		$657.72	$873.72	$1,903.16