Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.35 / $9,674.00 / $22,788.00	Facility		$1,542.35	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.20 / $1,501.21 / $7,408.95	Professional		$1,310.20	$1,501.21	$7,408.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,068.19 / $11,488.00 / $25,864.00	Facility		$2,068.19	$11,488.00	$25,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,626.90 / $2,145.42 / $4,136.39	Professional		$1,626.90	$2,145.42	$4,136.39
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 $1,204.82 / $1,776.71 / $3,944.30	Professional		$1,204.82	$1,776.71	$3,944.30
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 $1,476.88 / $1,967.33 / $4,453.06	Professional		$1,476.88	$1,967.33	$4,453.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.16 / $1,496.25 / $1,945.13	Professional		$1,253.16	$1,496.25	$1,945.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.13 / $1,679.68 / $3,088.49	Professional		$1,286.13	$1,679.68	$3,088.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,831.33 / $21,374.08	Facility		$55.00	$20,831.33	$21,374.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,054.71 / $10,313.28 / $12,266.93	Professional		$10,054.71	$10,313.28	$12,266.93
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 $1,372.70 / $1,714.84 / $2,402.16	Facility		$1,372.70	$1,714.84	$2,402.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,482.34 / $2,075.46 / $3,937.22	Professional		$1,482.34	$2,075.46	$3,937.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,597.12 / $4,597.12 / $4,597.12	Professional		$4,597.12	$4,597.12	$4,597.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,253.16 / $1,657.45 / $1,879.74	Professional		$1,253.16	$1,657.45	$1,879.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $6,108.00 / $18,709.00	Facility		$1,720.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.73 / $1,702.03 / $3,770.68	Professional		$1,187.73	$1,702.03	$3,770.68