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 $571.21 / $685.05 / $3,641.67	Professional		$571.21	$685.05	$3,641.67
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 $717.40 / $930.97 / $1,789.95	Professional		$717.40	$930.97	$1,789.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,337.77	Facility		$66.00	$100.00	$8,337.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.08 / $737.27 / $1,678.22	Professional		$512.08	$737.27	$1,678.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $4,029.45 / $7,216.92	Facility		$2,277.00	$4,029.45	$7,216.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.75 / $855.06 / $1,841.00	Professional		$653.75	$855.06	$1,841.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $603.87 / $821.83 / $1,142.30	Professional		$603.87	$821.83	$1,142.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.20 / $918.71 / $1,648.15	Professional		$673.20	$918.71	$1,648.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,284.40 / $11,637.85 / $26,542.00	Facility		$3,284.40	$11,637.85	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,704.57 / $5,704.57 / $6,049.28	Professional		$5,704.57	$5,704.57	$6,049.28
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 $736.66 / $909.34 / $1,288.00	Facility		$736.66	$909.34	$1,288.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $659.74 / $908.14 / $1,829.68	Professional		$659.74	$908.14	$1,829.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,259.60 / $2,259.60 / $2,259.60	Professional		$2,259.60	$2,259.60	$2,259.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $663.33 / $905.81 / $1,142.29	Professional		$663.33	$905.81	$1,142.29
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 $530.51 / $701.41 / $1,543.78	Professional		$530.51	$701.41	$1,543.78