Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,313.92 / $10,321.00 / $22,788.00	Facility		$2,313.92	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,982.69 / $2,313.92 / $11,489.00	Professional		$1,982.69	$2,313.92	$11,489.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,022.00 / $10,722.00 / $22,593.00	Facility		$3,022.00	$10,722.00	$22,593.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,356.84 / $2,966.03 / $5,981.73	Professional		$2,356.84	$2,966.03	$5,981.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $8,393.26	Facility		$63.90	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,619.77 / $2,401.28 / $5,629.34	Professional		$1,619.77	$2,401.28	$5,629.34
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 $2,115.01 / $2,819.67 / $6,176.08	Professional		$2,115.01	$2,819.67	$6,176.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.90 / $2,325.00 / $3,058.56	Professional		$1,616.90	$2,325.00	$3,058.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,998.38 / $2,609.92 / $4,798.89	Professional		$1,998.38	$2,609.92	$4,798.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $39,835.83 / $40,870.72	Facility		$55.00	$39,835.83	$40,870.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,623.44 / $16,020.08 / $19,056.90	Professional		$15,623.44	$16,020.08	$19,056.90
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 $2,117.87 / $2,714.32 / $3,876.00	Facility		$2,117.87	$2,714.32	$3,876.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,122.07 / $2,988.57 / $5,964.88	Professional		$2,122.07	$2,988.57	$5,964.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,128.68 / $7,128.68 / $7,128.68	Professional		$7,128.68	$7,128.68	$7,128.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,616.90 / $2,263.66 / $2,910.42	Professional		$1,616.90	$2,263.66	$2,910.42
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 $1,825.89 / $2,477.96 / $5,394.06	Professional		$1,825.89	$2,477.96	$5,394.06