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 $582.95 / $679.17 / $3,643.57	Professional		$582.95	$679.17	$3,643.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,362.00 / $16,106.00	Facility		$2,456.00	$7,362.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.27 / $981.01 / $1,930.76	Professional		$777.27	$981.01	$1,930.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,493.03	Facility		$66.00	$100.00	$8,493.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $534.76 / $770.87 / $1,747.26	Professional		$534.76	$770.87	$1,747.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $8,695.45 / $15,573.95	Facility		$2,277.00	$8,695.45	$15,573.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.01 / $874.88 / $1,892.19	Professional		$684.01	$874.88	$1,892.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $606.10 / $822.18 / $1,146.53	Professional		$606.10	$822.18	$1,146.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.51 / $919.14 / $1,648.88	Professional		$673.51	$919.14	$1,648.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,285.95 / $25,114.25 / $26,542.00	Facility		$3,285.95	$25,114.25	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,078.08 / $5,175.60 / $6,051.83	Professional		$5,078.08	$5,175.60	$6,051.83
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 $738.64 / $912.28 / $1,340.20	Facility		$738.64	$912.28	$1,340.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.09 / $930.81 / $1,864.39	Professional		$694.09	$930.81	$1,864.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,260.75 / $2,260.75 / $2,260.75	Professional		$2,260.75	$2,260.75	$2,260.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $663.62 / $909.16 / $1,146.52	Professional		$663.62	$909.16	$1,146.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.35 / $721.81 / $1,550.96	Professional		$541.35	$721.81	$1,550.96