Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.89 / $9,639.00 / $20,509.00	Facility		$1,215.89	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.44 / $1,285.50 / $6,571.01	Professional		$1,065.44	$1,285.50	$6,571.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,580.10 / $18,150.00	Facility		$3,765.00	$8,580.10	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,431.68 / $1,933.01 / $3,596.54	Professional		$1,431.68	$1,933.01	$3,596.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,455.40	Facility		$63.90	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $910.97 / $1,301.38 / $2,966.72	Professional		$910.97	$1,301.38	$2,966.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.86 / $1,523.30 / $3,322.33	Professional		$1,171.86	$1,523.30	$3,322.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $1,801.94	Professional		$843.26	$1,276.09	$1,801.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,203.61 / $1,664.02 / $2,993.45	Professional		$1,203.61	$1,664.02	$2,993.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,426.56 / $13,738.14	Facility		$55.00	$13,426.56	$13,738.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,182.00 / $9,388.40 / $11,856.23	Professional		$9,182.00	$9,388.40	$11,856.23
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 $1,320.91 / $1,629.31 / $2,306.48	Facility		$1,320.91	$1,629.31	$2,306.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,171.86 / $1,592.03 / $3,401.77	Professional		$1,171.86	$1,592.03	$3,401.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,077.17 / $4,077.17 / $4,077.17	Professional		$4,077.17	$4,077.17	$4,077.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.24 / $1,308.83 / $1,595.75	Professional		$1,096.24	$1,308.83	$1,595.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,067.00 / $18,493.00	Facility		$1,836.00	$5,067.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.56 / $1,316.70 / $2,802.36	Professional		$984.56	$1,316.70	$2,802.36