Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,219.85 / $10,321.00 / $22,788.00	Facility		$2,219.85	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,884.09 / $2,221.96 / $11,598.10	Professional		$1,884.09	$2,221.96	$11,598.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $9,771.00 / $21,405.00	Facility		$2,873.70	$9,771.00	$21,405.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,159.73 / $2,967.09 / $5,877.16	Professional		$2,159.73	$2,967.09	$5,877.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $13,858.12	Facility		$63.90	$100.00	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,497.40 / $2,167.67 / $5,130.75	Professional		$1,497.40	$2,167.67	$5,130.75
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 $1,997.25 / $2,780.82 / $6,270.06	Professional		$1,997.25	$2,780.82	$6,270.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.09 / $2,397.71 / $3,117.04	Professional		$1,797.09	$2,397.71	$3,117.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,036.75 / $2,651.73 / $4,879.17	Professional		$2,036.75	$2,651.73	$4,879.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,077.52 / $20,579.04	Facility		$55.00	$20,077.52	$20,579.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,462.88 / $18,462.88 / $19,222.73	Professional		$18,462.88	$18,462.88	$19,222.73
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 $2,108.10 / $2,715.67 / $3,864.59	Facility		$2,108.10	$2,715.67	$3,864.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,001.34 / $2,915.01 / $6,007.37	Professional		$2,001.34	$2,915.01	$6,007.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,196.39 / $7,196.39 / $7,196.39	Professional		$7,196.39	$7,196.39	$7,196.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,797.09 / $2,515.92 / $2,695.64	Professional		$1,797.09	$2,515.92	$2,695.64
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 $1,798.10 / $2,435.53 / $5,365.92	Professional		$1,798.10	$2,435.53	$5,365.92