Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,688.92 / $9,674.00 / $22,788.00	Facility		$1,688.92	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,441.85 / $1,688.92 / $8,804.89	Professional		$1,441.85	$1,688.92	$8,804.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,917.00 / $9,106.31 / $19,574.00	Facility		$3,917.00	$9,106.31	$19,574.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,641.19 / $2,117.44 / $4,262.03	Professional		$1,641.19	$2,117.44	$4,262.03
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 $1,177.58 / $1,744.24 / $4,086.31	Professional		$1,177.58	$1,744.24	$4,086.31
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 $1,504.34 / $2,087.89 / $4,625.64	Professional		$1,504.34	$2,087.89	$4,625.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $969.84 / $1,467.66 / $2,364.60	Professional		$969.84	$1,467.66	$2,364.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,552.25 / $2,022.80 / $3,721.95	Professional		$1,552.25	$2,022.80	$3,721.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,364.64 / $15,730.56	Facility		$55.00	$15,364.64	$15,730.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,031.92 / $12,311.52 / $14,724.83	Professional		$12,031.92	$12,311.52	$14,724.83
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 $1,618.24 / $2,041.36 / $2,910.27	Facility		$1,618.24	$2,041.36	$2,910.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,512.12 / $2,202.94 / $4,550.77	Professional		$1,512.12	$2,202.94	$4,550.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,463.28 / $5,463.28 / $5,463.28	Professional		$5,463.28	$5,463.28	$5,463.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $969.84 / $1,648.73 / $2,015.21	Professional		$969.84	$1,648.73	$2,015.21
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 $1,364.52 / $1,847.04 / $4,112.24	Professional		$1,364.52	$1,847.04	$4,112.24