Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.07 / $8,859.00 / $19,368.00	Facility		$2,231.07	$8,859.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.18 / $1,258.60 / $6,762.54	Professional		$1,073.18	$1,258.60	$6,762.54
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 $1,462.92 / $1,832.19 / $3,668.48	Professional		$1,462.92	$1,832.19	$3,668.48
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 $1,002.09 / $1,435.36 / $3,269.66	Professional		$1,002.09	$1,435.36	$3,269.66
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 $1,296.19 / $1,622.05 / $3,485.11	Professional		$1,296.19	$1,622.05	$3,485.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $1,844.28	Professional		$843.26	$1,276.09	$1,844.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,186.65 / $1,668.33 / $2,991.65	Professional		$1,186.65	$1,668.33	$2,991.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,357.90 / $10,570.63	Facility		$55.00	$10,357.90	$10,570.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,321.28 / $9,510.48 / $11,111.85	Professional		$9,321.28	$9,510.48	$11,111.85
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 $1,341.33 / $1,685.05 / $2,206.16	Facility		$1,341.33	$1,685.05	$2,206.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,296.19 / $1,695.32 / $3,443.05	Professional		$1,296.19	$1,695.32	$3,443.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,196.02 / $4,196.02 / $4,196.02	Professional		$4,196.02	$4,196.02	$4,196.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.24 / $1,339.29 / $1,636.91	Professional		$1,096.24	$1,339.29	$1,636.91
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,048.85 / $1,357.70 / $3,181.95	Professional		$1,048.85	$1,357.70	$3,181.95