Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.20 / $979.98 / $5,287.32	Professional		$827.20	$979.98	$5,287.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,597.00 / $9,381.00	Facility		$1,723.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.50 / $1,339.09 / $2,729.24	Professional		$1,039.50	$1,339.09	$2,729.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,446.11	Facility		$66.00	$100.00	$9,446.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.35 / $968.67 / $2,185.27	Professional		$676.35	$968.67	$2,185.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $5,980.00 / $5,980.00	Facility		$5,980.00	$5,980.00	$5,980.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.08 / $1,236.04 / $2,720.32	Professional		$951.08	$1,236.04	$2,720.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $720.03 / $1,151.41 / $1,439.26	Professional		$720.03	$1,151.41	$1,439.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $937.17 / $1,301.63 / $2,333.96	Professional		$937.17	$1,301.63	$2,333.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,924.36 / $7,069.98	Facility		$55.00	$6,924.36	$7,069.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,269.92 / $7,421.44 / $8,666.03	Professional		$7,269.92	$7,421.44	$8,666.03
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 $1,025.76 / $1,273.07 / $1,756.94	Facility		$1,025.76	$1,273.07	$1,756.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $966.21 / $1,297.10 / $2,692.80	Professional		$966.21	$1,297.10	$2,692.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,280.69 / $3,280.69 / $3,280.69	Professional		$3,280.69	$3,280.69	$3,280.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $929.05 / $1,045.18 / $1,277.44	Professional		$929.05	$1,045.18	$1,277.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $15,471.00	Facility		$3,610.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.06 / $1,018.75 / $2,198.77	Professional		$789.06	$1,018.75	$2,198.77