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 $539.97 / $649.16 / $3,454.48	Professional		$539.97	$649.16	$3,454.48
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 $638.14 / $877.50 / $1,765.64	Professional		$638.14	$877.50	$1,765.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,908.14	Facility		$66.00	$100.00	$7,908.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $543.49 / $777.52 / $1,726.56	Professional		$543.49	$777.52	$1,726.56
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 $636.95 / $844.01 / $1,854.65	Professional		$636.95	$844.01	$1,854.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $840.17 / $1,134.23	Professional		$349.96	$840.17	$1,134.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.33 / $902.11 / $1,634.29	Professional		$661.33	$902.11	$1,634.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,499.76 / $8,957.00 / $26,542.00	Facility		$2,499.76	$8,957.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,888.64 / $5,057.35 / $5,759.70	Professional		$4,888.64	$5,057.35	$5,759.70
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 $703.43 / $891.43 / $1,225.72	Facility		$703.43	$891.43	$1,225.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.41 / $915.06 / $1,792.75	Professional		$650.41	$915.06	$1,792.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,143.42 / $2,143.42 / $2,143.42	Professional		$2,143.42	$2,143.42	$2,143.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $454.95 / $678.86 / $933.44	Professional		$454.95	$678.86	$933.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,131.00	Facility		$2,090.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.09 / $665.80 / $1,422.85	Professional		$510.09	$665.80	$1,422.85