Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,159.00 / $17,030.00	Facility		$1,919.00	$6,159.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.40 / $746.37 / $3,883.01	Professional		$633.40	$746.37	$3,883.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,977.00 / $13,012.00	Facility		$2,143.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.50 / $1,168.83 / $2,135.85	Professional		$742.50	$1,168.83	$2,135.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,482.83	Facility		$66.00	$100.00	$7,482.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $569.45 / $817.33 / $1,861.61	Professional		$569.45	$817.33	$1,861.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $6,067.55 / $10,867.25	Facility		$1,992.00	$6,067.55	$10,867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.23 / $924.33 / $2,006.41	Professional		$723.23	$924.33	$2,006.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $871.43 / $1,176.43	Professional		$337.30	$871.43	$1,176.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $706.28 / $978.64 / $1,775.27	Professional		$706.28	$978.64	$1,775.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,794.32 / $16,394.00 / $17,524.30	Facility		$2,794.32	$16,394.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,442.80 / $5,536.08 / $6,394.80	Professional		$5,442.80	$5,536.08	$6,394.80
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 $740.73 / $941.40 / $1,304.94	Facility		$740.73	$941.40	$1,304.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.08 / $961.59 / $1,979.89	Professional		$725.08	$961.59	$1,979.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,409.32 / $2,409.32 / $2,409.32	Professional		$2,409.32	$2,409.32	$2,409.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $703.50 / $967.31	Professional		$438.49	$703.50	$967.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,313.00 / $26,451.00	Facility		$5,416.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.26 / $769.69 / $1,628.96	Professional		$577.26	$769.69	$1,628.96