Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,329.43 / $9,674.00 / $22,788.00	Facility		$1,329.43	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.27 / $1,329.43 / $6,948.10	Professional		$1,130.27	$1,329.43	$6,948.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $8,805.92 / $18,758.00	Facility		$2,675.00	$8,805.92	$18,758.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,268.28 / $1,615.66 / $3,342.81	Professional		$1,268.28	$1,615.66	$3,342.81
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 $852.35 / $1,231.67 / $2,957.57	Professional		$852.35	$1,231.67	$2,957.57
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 $1,154.61 / $1,625.94 / $3,666.29	Professional		$1,154.61	$1,625.94	$3,666.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $733.43 / $1,109.90 / $1,884.34	Professional		$733.43	$1,109.90	$1,884.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,231.56 / $1,603.48 / $2,955.83	Professional		$1,231.56	$1,603.48	$2,955.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,660.47 / $13,975.20	Facility		$55.00	$13,660.47	$13,975.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,507.20 / $9,722.79 / $11,626.80	Professional		$9,507.20	$9,722.79	$11,626.80
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 $1,262.47 / $1,612.27 / $2,335.29	Facility		$1,262.47	$1,612.27	$2,335.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,169.16 / $1,728.60 / $3,594.60	Professional		$1,169.16	$1,728.60	$3,594.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,311.16 / $4,311.16 / $4,311.16	Professional		$4,311.16	$4,311.16	$4,311.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $733.43 / $1,246.83 / $1,606.17	Professional		$733.43	$1,246.83	$1,606.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $6,108.00 / $18,709.00	Facility		$1,720.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,060.56 / $1,453.37 / $3,390.80	Professional		$1,060.56	$1,453.37	$3,390.80