Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.14 / $9,674.00 / $22,788.00	Facility		$1,576.14	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.28 / $1,576.14 / $5,653.71	Professional		$1,340.28	$1,576.14	$5,653.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,684.00 / $8,924.48 / $21,136.00	Facility		$2,684.00	$8,924.48	$21,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,566.69 / $2,124.25 / $4,019.28	Professional		$1,566.69	$2,124.25	$4,019.28
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 $1,097.63 / $1,623.64 / $3,821.86	Professional		$1,097.63	$1,623.64	$3,821.86
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 $1,378.11 / $1,962.08 / $4,353.70	Professional		$1,378.11	$1,962.08	$4,353.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,659.22 / $2,237.56	Professional		$1,096.42	$1,659.22	$2,237.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,462.43 / $1,904.06 / $3,503.48	Professional		$1,462.43	$1,904.06	$3,503.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,419.04 / $14,751.52	Facility		$55.00	$14,419.04	$14,751.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,046.47 / $12,046.47 / $13,806.08	Professional		$12,046.47	$12,046.47	$13,806.08
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 $1,523.25 / $1,980.23 / $2,976.00	Facility		$1,523.25	$1,980.23	$2,976.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,429.65 / $2,064.30 / $4,247.62	Professional		$1,429.65	$2,064.30	$4,247.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,107.55 / $5,107.55 / $5,107.55	Professional		$5,107.55	$5,107.55	$5,107.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,576.47 / $1,973.56	Professional		$1,096.42	$1,576.47	$1,973.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $4,675.00 / $20,279.00	Facility		$1,204.00	$4,675.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.83 / $1,748.92 / $4,199.75	Professional		$1,272.83	$1,748.92	$4,199.75