Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.73 / $9,674.00 / $22,788.00	Facility		$1,404.73	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.94 / $1,404.73 / $7,200.88	Professional		$1,192.94	$1,404.73	$7,200.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,434.00 / $11,780.00 / $23,711.32	Facility		$3,434.00	$11,780.00	$23,711.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,399.21 / $1,755.30 / $3,531.83	Professional		$1,399.21	$1,755.30	$3,531.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.90	Facility		$63.90	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $948.73 / $1,372.33 / $3,238.40	Professional		$948.73	$1,372.33	$3,238.40
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 $1,234.45 / $1,714.48 / $3,796.07	Professional		$1,234.45	$1,714.48	$3,796.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $884.96 / $1,339.20 / $1,947.95	Professional		$884.96	$1,339.20	$1,947.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,275.17 / $1,660.73 / $3,055.73	Professional		$1,275.17	$1,660.73	$3,055.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,590.24 / $12,879.04	Facility		$55.00	$12,590.24	$12,879.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,857.60 / $10,079.76 / $12,060.75	Professional		$9,857.60	$10,079.76	$12,060.75
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 $1,328.58 / $1,718.40 / $2,397.46	Facility		$1,328.58	$1,718.40	$2,397.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,247.99 / $1,793.67 / $3,723.89	Professional		$1,247.99	$1,793.67	$3,723.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,468.01 / $4,468.01 / $4,468.01	Professional		$4,468.01	$4,468.01	$4,468.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $884.96 / $1,358.41 / $1,660.27	Professional		$884.96	$1,358.41	$1,660.27
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 $1,116.58 / $1,532.15 / $3,717.90	Professional		$1,116.58	$1,532.15	$3,717.90