Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,198.81 / $10,805.00 / $22,788.00	Facility		$2,198.81	$10,805.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,874.06 / $2,198.81 / $8,530.40	Professional		$1,874.06	$2,198.81	$8,530.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,619.00 / $8,484.00 / $18,150.00	Facility		$2,619.00	$8,484.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,810.03 / $2,666.05 / $5,583.80	Professional		$1,810.03	$2,666.05	$5,583.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $8,393.26	Facility		$63.90	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,549.69 / $2,237.04 / $5,257.29	Professional		$1,549.69	$2,237.04	$5,257.29
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 $1,960.28 / $2,724.82 / $5,956.78	Professional		$1,960.28	$2,724.82	$5,956.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $591.58 / $895.25 / $3,110.41	Professional		$591.58	$895.25	$3,110.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,024.03 / $2,642.33 / $5,215.91	Professional		$2,024.03	$2,642.33	$5,215.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,408.48 / $28,186.84	Facility		$55.00	$27,408.48	$28,186.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,706.24 / $16,131.12 / $18,795.98	Professional		$15,706.24	$16,131.12	$18,795.98
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 $1,959.51 / $2,625.17 / $3,710.72	Facility		$1,959.51	$2,625.17	$3,710.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,972.31 / $2,853.71 / $5,903.15	Professional		$1,972.31	$2,853.71	$5,903.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,118.00 / $7,118.00 / $7,118.00	Professional		$7,118.00	$7,118.00	$7,118.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $591.58 / $1,064.84 / $2,652.73	Professional		$591.58	$1,064.84	$2,652.73
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 $1,770.29 / $2,371.36 / $5,302.69	Professional		$1,770.29	$2,371.36	$5,302.69