Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,216.00 / $10,289.00 / $22,788.00	Facility		$3,216.00	$10,289.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.58 / $774.66 / $4,007.06	Professional		$655.58	$774.66	$4,007.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $13,707.00 / $30,857.00	Facility		$3,275.00	$13,707.00	$30,857.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $862.80 / $1,176.78 / $2,181.87	Professional		$862.80	$1,176.78	$2,181.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $5,915.89	Facility		$66.70	$100.00	$5,915.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $570.80 / $845.72 / $1,970.87	Professional		$570.80	$845.72	$1,970.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $1,025.00 / $14,696.00	Facility		$643.00	$1,025.00	$14,696.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.42 / $965.37 / $2,180.85	Professional		$710.42	$965.37	$2,180.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.94 / $794.40 / $1,096.95	Professional		$524.94	$794.40	$1,096.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.66 / $930.50 / $1,711.02	Professional		$714.66	$930.50	$1,711.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $7,026.32 / $10,160.00	Facility		$2,800.00	$7,026.32	$10,160.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,500.88 / $5,623.04 / $6,722.93	Professional		$5,500.88	$5,623.04	$6,722.93
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 $744.56 / $974.59 / $1,482.54	Facility		$744.56	$974.59	$1,482.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $718.24 / $1,025.33 / $2,074.61	Professional		$718.24	$1,025.33	$2,074.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,486.29 / $2,486.29 / $2,486.29	Professional		$2,486.29	$2,486.29	$2,486.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $524.94 / $770.50 / $944.90	Professional		$524.94	$770.50	$944.90
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 $612.26 / $843.81 / $1,870.25	Professional		$612.26	$843.81	$1,870.25