Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.37 / $1,186.08 / $6,354.73	Professional		$1,010.37	$1,186.08	$6,354.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,031.00 / $22,085.00	Facility		$3,537.00	$9,031.00	$22,085.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,299.84 / $1,688.57 / $3,450.68	Professional		$1,299.84	$1,688.57	$3,450.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,919.07	Facility		$64.40	$100.00	$7,919.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $913.70 / $1,309.73 / $2,981.26	Professional		$913.70	$1,309.73	$2,981.26
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 $1,213.76 / $1,526.46 / $3,281.45	Professional		$1,213.76	$1,526.46	$3,281.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,402.65 / $1,542.92 / $1,893.58	Professional		$1,402.65	$1,542.92	$1,893.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.82 / $1,580.84 / $2,832.76	Professional		$1,139.82	$1,580.84	$2,832.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,979.10 / $7,120.40	Facility		$55.00	$6,979.10	$7,120.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,751.99 / $10,751.99 / $10,751.99	Professional		$10,751.99	$10,751.99	$10,751.99
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 $1,268.42 / $1,583.57 / $2,352.50	Facility		$1,268.42	$1,583.57	$2,352.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,219.82 / $1,582.85 / $3,236.40	Professional		$1,219.82	$1,582.85	$3,236.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,942.99 / $3,942.99 / $3,942.99	Professional		$3,942.99	$3,942.99	$3,942.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,131.90 / $1,273.39 / $1,556.37	Professional		$1,131.90	$1,273.39	$1,556.37
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 $950.60 / $1,264.33 / $2,680.37	Professional		$950.60	$1,264.33	$2,680.37