Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,054.00	Facility		$1,919.00	$6,159.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.97 / $757.31 / $4,073.69	Professional		$609.97	$757.31	$4,073.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.15 / $1,098.09 / $2,083.21	Professional		$819.15	$1,098.09	$2,083.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,344.10	Facility		$66.00	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $530.04 / $757.21 / $1,732.70	Professional		$530.04	$757.21	$1,732.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $3,101.23 / $5,554.45	Facility		$1,992.00	$3,101.23	$5,554.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.23 / $955.59 / $2,113.61	Professional		$718.23	$955.59	$2,113.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $830.23 / $996.28 / $1,570.49	Professional		$830.23	$996.28	$1,570.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $749.93 / $1,022.59 / $1,833.17	Professional		$749.93	$1,022.59	$1,833.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,393.62 / $8,957.00 / $16,394.00	Facility		$4,393.62	$8,957.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,062.34 / $8,062.34 / $8,062.34	Professional		$8,062.34	$8,062.34	$8,062.34
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 $814.80 / $1,050.91 / $1,636.01	Facility		$814.80	$1,050.91	$1,636.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.16 / $1,009.74 / $2,058.25	Professional		$725.16	$1,009.74	$2,058.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,527.66 / $2,527.66 / $2,527.66	Professional		$2,527.66	$2,527.66	$2,527.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $811.41 / $1,012.53 / $1,570.48	Professional		$811.41	$1,012.53	$1,570.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.16 / $770.08 / $1,725.97	Professional		$596.16	$770.08	$1,725.97