Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.13 / $9,639.00 / $20,509.00	Facility		$1,345.13	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.45 / $1,402.21 / $7,177.62	Professional		$1,179.45	$1,402.21	$7,177.62
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 $1,487.00 / $2,149.00 / $3,927.15	Professional		$1,487.00	$2,149.00	$3,927.15
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 $1,008.01 / $1,442.45 / $3,285.09	Professional		$1,008.01	$1,442.45	$3,285.09
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 $1,296.11 / $1,694.16 / $3,619.85	Professional		$1,296.11	$1,694.16	$3,619.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $1,957.11	Professional		$843.26	$1,276.09	$1,957.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,312.73 / $1,809.08 / $3,257.84	Professional		$1,312.73	$1,809.08	$3,257.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,651.82 / $14,983.92	Facility		$55.00	$14,651.82	$14,983.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,016.00 / $10,237.84 / $12,958.43	Professional		$10,016.00	$10,237.84	$12,958.43
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 $1,419.31 / $1,774.22 / $2,505.10	Facility		$1,419.31	$1,774.22	$2,505.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,297.32 / $1,774.33 / $3,712.25	Professional		$1,297.32	$1,774.33	$3,712.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,453.57 / $4,453.57 / $4,453.57	Professional		$4,453.57	$4,453.57	$4,453.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.24 / $1,417.87 / $1,732.95	Professional		$1,096.24	$1,417.87	$1,732.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,123.00 / $18,493.00	Facility		$2,009.00	$5,123.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.16 / $1,440.60 / $3,065.76	Professional		$1,070.16	$1,440.60	$3,065.76