Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.11 / $9,639.00 / $20,509.00	Facility		$804.11	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.00 / $1,157.95 / $5,966.04	Professional		$715.00	$1,157.95	$5,966.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,135.42 / $1,520.11 / $2,832.93	Professional		$1,135.42	$1,520.11	$2,832.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,919.63	Facility		$66.00	$100.00	$6,919.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $673.50 / $963.90 / $2,234.71	Professional		$673.50	$963.90	$2,234.71
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 $873.79 / $1,285.57 / $2,978.32	Professional		$873.79	$1,285.57	$2,978.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,126.80 / $1,634.59	Professional		$744.60	$1,126.80	$1,634.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.58 / $1,509.72 / $2,716.36	Professional		$1,092.58	$1,509.72	$2,716.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,897.74 / $15,240.94	Facility		$55.00	$14,897.74	$15,240.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,520.27 / $9,520.27 / $10,766.10	Professional		$9,520.27	$9,520.27	$10,766.10
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 $1,078.81 / $1,456.79 / $2,012.96	Facility		$1,078.81	$1,456.79	$2,012.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $874.69 / $1,344.54 / $3,056.88	Professional		$874.69	$1,344.54	$3,056.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,701.82 / $3,701.82 / $3,701.82	Professional		$3,701.82	$3,701.82	$3,701.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,187.73 / $1,447.52	Professional		$967.98	$1,187.73	$1,447.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,060.00 / $9,072.00	Facility		$2,090.00	$4,060.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $806.63 / $1,093.11 / $2,577.34	Professional		$806.63	$1,093.11	$2,577.34