Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.13 / $9,674.00 / $22,788.00	Facility		$1,360.13	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.40 / $1,351.89 / $6,809.10	Professional		$1,153.40	$1,351.89	$6,809.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,410.00 / $19,158.00	Facility		$2,675.00	$8,410.00	$19,158.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,341.79 / $1,738.85 / $3,381.31	Professional		$1,341.79	$1,738.85	$3,381.31
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 $878.98 / $1,299.59 / $3,063.09	Professional		$878.98	$1,299.59	$3,063.09
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 $1,170.20 / $1,634.59 / $3,654.08	Professional		$1,170.20	$1,634.59	$3,654.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,447.91 / $1,882.28	Professional		$967.98	$1,447.91	$1,882.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.41 / $1,581.08 / $2,850.83	Professional		$1,206.41	$1,581.08	$2,850.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,773.44 / $12,060.32	Facility		$55.00	$11,773.44	$12,060.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,470.21 / $11,470.21 / $11,470.21	Professional		$11,470.21	$11,470.21	$11,470.21
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 $1,263.60 / $1,637.69 / $2,485.55	Facility		$1,263.60	$1,637.69	$2,485.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,179.21 / $1,726.95 / $3,470.50	Professional		$1,179.21	$1,726.95	$3,470.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,224.91 / $4,224.91 / $4,224.91	Professional		$4,224.91	$4,224.91	$4,224.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,355.17 / $1,742.36	Professional		$967.98	$1,355.17	$1,742.36
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 $1,046.92 / $1,420.81 / $3,152.99	Professional		$1,046.92	$1,420.81	$3,152.99