Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.01 / $1,208.91 / $6,126.74	Professional		$1,016.01	$1,208.91	$6,126.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,343.49 / $1,750.20 / $3,322.19	Professional		$1,343.49	$1,750.20	$3,322.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,121.41	Facility		$64.40	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $911.95 / $1,306.28 / $2,976.26	Professional		$911.95	$1,306.28	$2,976.26
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 $1,175.75 / $1,471.10 / $3,150.90	Professional		$1,175.75	$1,471.10	$3,150.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $949.74 / $1,329.77 / $1,795.19	Professional		$949.74	$1,329.77	$1,795.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.16 / $1,505.78 / $2,701.01	Professional		$1,084.16	$1,505.78	$2,701.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,366.91 / $9,547.51	Facility		$55.00	$9,366.91	$9,547.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,557.67 / $8,589.84 / $10,052.48	Professional		$8,557.67	$8,589.84	$10,052.48
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 $1,217.55 / $1,527.86 / $2,273.38	Facility		$1,217.55	$1,527.86	$2,273.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,178.81 / $1,534.30 / $3,111.49	Professional		$1,178.81	$1,534.30	$3,111.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,801.51 / $3,801.51 / $3,801.51	Professional		$3,801.51	$3,801.51	$3,801.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,072.90 / $1,424.61 / $1,796.54	Professional		$1,072.90	$1,424.61	$1,796.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,555.00 / $29,312.00	Facility		$6,366.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.19 / $1,222.92 / $2,645.78	Professional		$917.19	$1,222.92	$2,645.78