Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,648.00 / $18,309.00	Facility		$1,992.00	$7,648.00	$18,309.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.75 / $1,238.08 / $5,471.00	Professional		$1,042.75	$1,238.08	$5,471.00
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 $1,187.65 / $1,598.96 / $3,176.85	Professional		$1,187.65	$1,598.96	$3,176.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,373.42	Facility		$66.00	$100.00	$10,373.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $806.07 / $1,157.30 / $2,634.29	Professional		$806.07	$1,157.30	$2,634.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $8,738.87 / $15,651.72	Facility		$5,980.00	$8,738.87	$15,651.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.78 / $1,500.12 / $3,294.94	Professional		$1,149.78	$1,500.12	$3,294.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $867.46 / $1,407.47 / $6,238.94	Professional		$867.46	$1,407.47	$6,238.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,143.31 / $1,587.93 / $2,846.21	Professional		$1,143.31	$1,587.93	$2,846.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,584.64 / $25,239.65	Facility		$55.00	$4,584.64	$25,239.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,845.20 / $9,021.60 / $10,541.78	Professional		$8,845.20	$9,021.60	$10,541.78
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 $1,254.32 / $1,567.41 / $2,248.91	Facility		$1,254.32	$1,567.41	$2,248.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,149.78 / $1,568.31 / $3,263.35	Professional		$1,149.78	$1,568.31	$3,263.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,965.71 / $3,965.71 / $3,965.71	Professional		$3,965.71	$3,965.71	$3,965.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,127.70 / $1,277.71 / $1,561.65	Professional		$1,127.70	$1,277.71	$1,561.65
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,651.00 / $29,312.00	Facility		$7,696.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $954.19 / $1,272.25 / $2,721.24	Professional		$954.19	$1,272.25	$2,721.24