Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,108.00 / $17,902.00	Facility		$2,608.00	$7,108.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.35 / $906.79 / $4,573.00	Professional		$748.35	$906.79	$4,573.00
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 $850.00 / $1,171.36 / $2,359.30	Professional		$850.00	$1,171.36	$2,359.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,378.59	Facility		$66.00	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $581.69 / $833.22 / $1,896.62	Professional		$581.69	$833.22	$1,896.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,980.00 / $17,357.25 / $31,087.61	Facility		$5,980.00	$17,357.25	$31,087.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.58 / $1,078.33 / $2,377.39	Professional		$825.58	$1,078.33	$2,377.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $623.60 / $1,023.26 / $12,391.85	Professional		$623.60	$1,023.26	$12,391.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.95 / $1,149.45 / $2,059.35	Professional		$827.95	$1,149.45	$2,059.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $20,000.00 / $50,131.30	Facility		$1,800.00	$20,000.00	$50,131.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,367.84 / $6,494.40 / $7,584.60	Professional		$6,367.84	$6,494.40	$7,584.60
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 $901.38 / $1,134.44 / $1,637.22	Facility		$901.38	$1,134.44	$1,637.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.58 / $1,125.09 / $2,340.59	Professional		$825.58	$1,125.09	$2,340.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,846.48 / $2,846.48 / $2,846.48	Professional		$2,846.48	$2,846.48	$2,846.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $810.68 / $929.07 / $1,135.53	Professional		$810.68	$929.07	$1,135.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $29,312.00	Facility		$7,696.00	$13,797.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.80 / $910.81 / $2,096.73	Professional		$684.80	$910.81	$2,096.73