Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.29 / $9,674.00 / $22,788.00	Facility		$1,100.29	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.40 / $1,109.83 / $4,573.00	Professional		$935.40	$1,109.83	$4,573.00
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 $1,063.00 / $1,371.15 / $2,785.50	Professional		$1,063.00	$1,371.15	$2,785.50
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 $740.71 / $1,070.23 / $2,516.33	Professional		$740.71	$1,070.23	$2,516.33
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 $963.85 / $1,355.80 / $3,033.44	Professional		$963.85	$1,355.80	$3,033.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $703.27 / $1,064.27 / $1,558.17	Professional		$703.27	$1,064.27	$1,558.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,018.49 / $1,326.13 / $2,444.53	Professional		$1,018.49	$1,326.13	$2,444.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,298.33 / $11,563.56	Facility		$55.00	$11,298.33	$11,563.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,863.68 / $8,046.08 / $9,615.29	Professional		$7,863.68	$8,046.08	$9,615.29
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 $1,060.90 / $1,367.93 / $2,088.48	Facility		$1,060.90	$1,367.93	$2,088.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.09 / $1,430.76 / $2,947.94	Professional		$977.09	$1,430.76	$2,947.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.71 / $3,548.71 / $3,548.71	Professional		$3,548.71	$3,548.71	$3,548.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $703.27 / $1,086.66 / $1,328.14	Professional		$703.27	$1,086.66	$1,328.14
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 $883.37 / $1,188.81 / $2,664.55	Professional		$883.37	$1,188.81	$2,664.55