Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,977.72 / $10,299.20 / $22,788.00	Facility		$1,977.72	$10,299.20	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.26 / $1,977.72 / $10,299.20	Professional		$1,686.26	$1,977.72	$10,299.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,873.70 / $8,947.00 / $19,298.00	Facility		$2,873.70	$8,947.00	$19,298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,917.77 / $2,420.48 / $5,003.35	Professional		$1,917.77	$2,420.48	$5,003.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,344.10	Facility		$63.90	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,391.07 / $2,007.48 / $4,711.88	Professional		$1,391.07	$2,007.48	$4,711.88
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 $1,747.60 / $2,438.08 / $5,577.30	Professional		$1,747.60	$2,438.08	$5,577.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.70 / $1,836.68 / $2,758.02	Professional		$1,213.70	$1,836.68	$2,758.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,809.83 / $2,358.11 / $4,347.95	Professional		$1,809.83	$2,358.11	$4,347.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,907.36 / $18,339.91	Facility		$55.00	$17,907.36	$18,339.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,020.96 / $14,354.56 / $17,165.48	Professional		$14,020.96	$14,354.56	$17,165.48
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 $1,886.49 / $2,376.14 / $3,768.54	Facility		$1,886.49	$2,376.14	$3,768.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,764.83 / $2,565.62 / $5,326.96	Professional		$1,764.83	$2,565.62	$5,326.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,390.50 / $6,390.50 / $6,390.50	Professional		$6,390.50	$6,390.50	$6,390.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,213.70 / $1,923.14 / $2,350.50	Professional		$1,213.70	$1,923.14	$2,350.50
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 $1,604.53 / $2,160.71 / $4,802.77	Professional		$1,604.53	$2,160.71	$4,802.77