Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,560.00 / $21,357.00	Facility		$2,387.00	$9,560.00	$21,357.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.19 / $1,022.75 / $3,758.02	Professional		$836.19	$1,022.75	$3,758.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $7,007.00 / $15,529.00	Facility		$1,450.00	$7,007.00	$15,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.20 / $1,156.08 / $2,387.58	Professional		$904.20	$1,156.08	$2,387.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $11,539.24	Facility		$67.90	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $782.00 / $1,168.99 / $2,589.80	Professional		$782.00	$1,168.99	$2,589.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,461.93 / $10,261.32	Facility		$732.00	$3,461.93	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.57 / $1,174.00 / $2,652.04	Professional		$864.57	$1,174.00	$2,652.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $1,098.66 / $1,483.19	Professional		$632.91	$1,098.66	$1,483.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $883.91 / $1,163.22 / $2,049.98	Professional		$883.91	$1,163.22	$2,049.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,858.51 / $16,547.20 / $26,542.00	Facility		$5,858.51	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,218.11 / $9,218.11 / $9,218.11	Professional		$9,218.11	$9,218.11	$9,218.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,282.65	Professional		$32.34	$32.34	$1,282.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $895.32 / $1,178.54 / $1,881.67	Facility		$895.32	$1,178.54	$1,881.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $868.89 / $1,252.49 / $2,464.04	Professional		$868.89	$1,252.49	$2,464.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,909.44 / $2,909.44 / $2,909.44	Professional		$2,909.44	$2,909.44	$2,909.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $632.91 / $998.55 / $1,220.45	Professional		$632.91	$998.55	$1,220.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,570.00 / $11,671.00 / $26,451.00	Facility		$3,570.00	$11,671.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.13 / $982.12 / $2,232.56	Professional		$708.13	$982.12	$2,232.56