Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,650.39 / $10,321.00 / $22,788.00	Facility		$2,650.39	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,533.92 / $3,227.57 / $11,242.47	Professional		$2,533.92	$3,227.57	$11,242.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,667.00 / $11,780.00 / $23,711.32	Facility		$3,667.00	$11,780.00	$23,711.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,172.88 / $4,097.02 / $8,043.48	Professional		$3,172.88	$4,097.02	$8,043.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $11,939.24	Facility		$63.90	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,209.84 / $3,273.24 / $7,484.42	Professional		$2,209.84	$3,273.24	$7,484.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $5,431.00	Facility		$633.00	$766.00	$5,431.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,764.02 / $3,730.38 / $8,110.97	Professional		$2,764.02	$3,730.38	$8,110.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,418.83 / $3,288.02 / $4,274.43	Professional		$2,418.83	$3,288.02	$4,274.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,811.82 / $3,665.46 / $7,167.88	Professional		$2,811.82	$3,665.46	$7,167.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55,764.32 / $57,078.72	Facility		$55.00	$55,764.32	$57,078.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,833.04 / $22,337.92 / $26,740.05	Professional		$21,833.04	$22,337.92	$26,740.05
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 $2,848.73 / $3,715.38 / $5,298.26	Facility		$2,848.73	$3,715.38	$5,298.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,825.28 / $3,989.74 / $8,110.97	Professional		$2,825.28	$3,989.74	$8,110.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,304.70 / $9,304.70 / $9,304.70	Professional		$9,304.70	$9,304.70	$9,304.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,418.83 / $3,386.37 / $3,642.55	Professional		$2,418.83	$3,386.37	$3,642.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,388.13 / $3,232.09 / $7,240.63	Professional		$2,388.13	$3,232.09	$7,240.63