Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.84 / $9,674.00 / $22,788.00	Facility		$1,508.84	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.13 / $1,508.84 / $7,858.19	Professional		$1,286.13	$1,508.84	$7,858.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.29 / $1,886.81 / $3,796.46	Professional		$1,407.29	$1,886.81	$3,796.46
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 $1,065.38 / $1,537.97 / $3,605.70	Professional		$1,065.38	$1,537.97	$3,605.70
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 $1,335.14 / $1,855.48 / $4,063.73	Professional		$1,335.14	$1,855.48	$4,063.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $856.66 / $1,296.38 / $2,119.36	Professional		$856.66	$1,296.38	$2,119.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,389.30 / $1,809.90 / $3,330.22	Professional		$1,389.30	$1,809.90	$3,330.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,734.24 / $14,055.52	Facility		$55.00	$13,734.24	$14,055.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,754.00 / $11,001.04 / $13,160.03	Professional		$10,754.00	$11,001.04	$13,160.03
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 $1,367.12 / $1,817.75 / $2,593.50	Facility		$1,367.12	$1,817.75	$2,593.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,346.48 / $1,957.47 / $4,063.73	Professional		$1,346.48	$1,957.47	$4,063.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,875.87 / $4,875.87 / $4,875.87	Professional		$4,875.87	$4,875.87	$4,875.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $856.66 / $1,456.33 / $1,806.30	Professional		$856.66	$1,456.33	$1,806.30
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 $1,214.04 / $1,668.06 / $3,840.24	Professional		$1,214.04	$1,668.06	$3,840.24