Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,309.01 / $17,030.00	Facility		$1,919.00	$6,309.01	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.50 / $1,121.43 / $5,389.00	Professional		$934.50	$1,121.43	$5,389.00
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 $1,187.92 / $1,720.17 / $3,135.16	Professional		$1,187.92	$1,720.17	$3,135.16
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 $829.68 / $1,192.16 / $2,712.35	Professional		$829.68	$1,192.16	$2,712.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,690.42 / $13,773.88	Facility		$1,992.00	$7,690.42	$13,773.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.52 / $1,345.54 / $2,939.23	Professional		$1,057.52	$1,345.54	$2,939.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $647.79 / $1,223.22 / $1,651.35	Professional		$647.79	$1,223.22	$1,651.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $985.69 / $1,385.30 / $2,511.48	Professional		$985.69	$1,385.30	$2,511.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,025.00 / $16,394.00 / $22,211.50	Facility		$4,025.00	$16,394.00	$22,211.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,757.68 / $7,918.64 / $9,248.25	Professional		$7,757.68	$7,918.64	$9,248.25
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 $1,112.40 / $1,355.41 / $1,851.31	Facility		$1,112.40	$1,355.41	$1,851.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,057.64 / $1,404.16 / $2,888.46	Professional		$1,057.64	$1,404.16	$2,888.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,495.20 / $3,495.20 / $3,495.20	Professional		$3,495.20	$3,495.20	$3,495.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $842.14 / $1,110.29 / $1,357.03	Professional		$842.14	$1,110.29	$1,357.03
United Facility/Professional Facility Modifier Low / Median / High Price $6,596.96 / $11,624.00 / $24,268.00	Facility		$6,596.96	$11,624.00	$24,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.13 / $1,129.22 / $2,344.57	Professional		$868.13	$1,129.22	$2,344.57