Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.02 / $9,639.00 / $20,509.00	Facility		$1,179.02	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.31 / $1,215.60 / $6,715.18	Professional		$1,006.31	$1,215.60	$6,715.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $10,365.00 / $21,901.00	Facility		$3,908.00	$10,365.00	$21,901.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,358.39 / $1,910.69 / $3,652.13	Professional		$1,358.39	$1,910.69	$3,652.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,714.18	Facility		$64.40	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $942.62 / $1,358.43 / $3,082.78	Professional		$942.62	$1,358.43	$3,082.78
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 $1,130.58 / $1,492.00 / $3,387.82	Professional		$1,130.58	$1,492.00	$3,387.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,440.79 / $1,831.05	Professional		$967.98	$1,440.79	$1,831.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,162.41 / $1,610.71 / $2,926.96	Professional		$1,162.41	$1,610.71	$2,926.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,484.06 / $8,691.00	Facility		$55.00	$8,484.06	$8,691.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,776.75 / $10,776.75 / $10,776.75	Professional		$10,776.75	$10,776.75	$10,776.75
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 $1,251.76 / $1,575.38 / $2,305.26	Facility		$1,251.76	$1,575.38	$2,305.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,147.69 / $1,575.57 / $3,317.92	Professional		$1,147.69	$1,575.57	$3,317.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,166.66 / $4,166.66 / $4,166.66	Professional		$4,166.66	$4,166.66	$4,166.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,163.11 / $1,451.97 / $1,831.05	Professional		$1,163.11	$1,451.97	$1,831.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,067.00 / $18,493.00	Facility		$2,009.00	$5,067.00	$18,493.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.17 / $1,259.46 / $2,963.48	Professional		$962.17	$1,259.46	$2,963.48