Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.66 / $9,674.00 / $22,788.00	Facility		$1,614.66	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.56 / $1,632.10 / $6,981.75	Professional		$1,375.56	$1,632.10	$6,981.75
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 $1,562.19 / $2,047.53 / $4,096.67	Professional		$1,562.19	$2,047.53	$4,096.67
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 $1,105.36 / $1,595.54 / $3,741.63	Professional		$1,105.36	$1,595.54	$3,741.63
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 $1,414.09 / $1,997.24 / $4,565.85	Professional		$1,414.09	$1,997.24	$4,565.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,403.99 / $2,268.03	Professional		$927.77	$1,403.99	$2,268.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.21 / $1,935.96 / $3,570.80	Professional		$1,486.21	$1,935.96	$3,570.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,523.00 / $16,912.25	Facility		$55.00	$16,523.00	$16,912.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,499.68 / $11,765.92 / $14,073.00	Professional		$11,499.68	$11,765.92	$14,073.00
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 $1,548.77 / $2,005.74 / $2,995.20	Facility		$1,548.77	$2,005.74	$2,995.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,435.37 / $2,097.27 / $4,353.89	Professional		$1,435.37	$2,097.27	$4,353.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,226.30 / $5,226.30 / $5,226.30	Professional		$5,226.30	$5,226.30	$5,226.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,577.21 / $1,933.03	Professional		$927.77	$1,577.21	$1,933.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $5,978.00 / $18,709.00	Facility		$1,720.00	$5,978.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.01 / $1,776.51 / $3,935.65	Professional		$1,321.01	$1,776.51	$3,935.65