Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.74 / $9,639.00 / $20,509.00	Facility		$1,545.74	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,346.22 / $1,575.17 / $8,471.43	Professional		$1,346.22	$1,575.17	$8,471.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $12,268.00 / $49,214.59	Facility		$4,314.00	$12,268.00	$49,214.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,809.27 / $2,396.12 / $4,559.35	Professional		$1,809.27	$2,396.12	$4,559.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,114.52	Facility		$64.40	$100.00	$8,114.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,228.36 / $1,761.32 / $4,015.73	Professional		$1,228.36	$1,761.32	$4,015.73
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 $1,588.37 / $2,014.93 / $4,335.85	Professional		$1,588.37	$2,014.93	$4,335.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.01 / $1,836.48 / $2,313.46	Professional		$1,223.01	$1,836.48	$2,313.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,498.39 / $2,081.10 / $3,733.62	Professional		$1,498.39	$2,081.10	$3,733.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,619.84 / $30,243.04	Facility		$55.00	$29,619.84	$30,243.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,468.63 / $14,468.63 / $14,468.63	Professional		$14,468.63	$14,468.63	$14,468.63
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 $1,683.36 / $2,088.31 / $3,111.79	Facility		$1,683.36	$2,088.31	$3,111.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,589.64 / $2,077.31 / $4,267.31	Professional		$1,589.64	$2,077.31	$4,267.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,256.36 / $5,256.36 / $5,256.36	Professional		$5,256.36	$5,256.36	$5,256.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,481.67 / $1,834.51 / $2,313.46	Professional		$1,481.67	$1,834.51	$2,313.46
United Facility/Professional Facility Modifier Low / Median / High Price $8,822.00 / $17,861.00 / $42,098.00	Facility		$8,822.00	$17,861.00	$42,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,268.73 / $1,659.34 / $3,489.01	Professional		$1,268.73	$1,659.34	$3,489.01