Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,135.96 / $7,368.00 / $20,135.00	Facility		$2,135.96	$7,368.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,791.27 / $2,186.88 / $11,505.70	Professional		$1,791.27	$2,186.88	$11,505.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,192.00 / $18,150.00	Facility		$2,616.00	$8,192.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,050.21 / $2,820.75 / $5,605.49	Professional		$2,050.21	$2,820.75	$5,605.49
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 $1,496.45 / $2,158.73 / $5,107.64	Professional		$1,496.45	$2,158.73	$5,107.64
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 $1,914.88 / $2,689.37 / $6,055.68	Professional		$1,914.88	$2,689.37	$6,055.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,597.91 / $2,374.42 / $3,086.76	Professional		$1,597.91	$2,374.42	$3,086.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,017.74 / $2,627.09 / $4,833.84	Professional		$2,017.74	$2,627.09	$4,833.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,409.34 / $17,828.23	Facility		$55.00	$17,409.34	$17,828.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,183.28 / $17,183.28 / $19,053.23	Professional		$17,183.28	$17,183.28	$19,053.23
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 $2,059.75 / $2,690.32 / $3,826.99	Facility		$2,059.75	$2,690.32	$3,826.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,941.26 / $2,867.01 / $5,961.55	Professional		$1,941.26	$2,867.01	$5,961.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,139.11 / $7,139.11 / $7,139.11	Professional		$7,139.11	$7,139.11	$7,139.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,597.91 / $2,237.08 / $2,876.24	Professional		$1,597.91	$2,237.08	$2,876.24
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 $1,749.76 / $2,346.17 / $5,191.21	Professional		$1,749.76	$2,346.17	$5,191.21