Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,880.00 / $17,701.00	Facility		$1,820.00	$6,880.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.80 / $1,265.67 / $6,606.12	Professional		$1,072.80	$1,265.67	$6,606.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,140.00 / $14,981.00	Facility		$2,456.00	$7,140.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,344.41 / $2,009.51 / $3,662.51	Professional		$1,344.41	$2,009.51	$3,662.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,404.02	Facility		$66.00	$100.00	$8,404.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $949.55 / $1,361.68 / $3,104.21	Professional		$949.55	$1,361.68	$3,104.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $6,067.55 / $10,867.25	Facility		$2,277.00	$6,067.55	$10,867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.30 / $1,568.65 / $3,415.38	Professional		$1,214.30	$1,568.65	$3,415.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $731.94 / $1,425.84 / $1,924.88	Professional		$731.94	$1,425.84	$1,924.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,151.54 / $1,607.41 / $2,932.94	Professional		$1,151.54	$1,607.41	$2,932.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,894.65 / $17,524.30 / $26,542.00	Facility		$5,894.65	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,082.56 / $9,269.60 / $10,833.83	Professional		$9,082.56	$9,269.60	$10,833.83
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 $1,304.68 / $1,607.41 / $2,172.00	Facility		$1,304.68	$1,607.41	$2,172.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,233.23 / $1,645.09 / $3,366.68	Professional		$1,233.23	$1,645.09	$3,366.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,098.97 / $4,098.97 / $4,098.97	Professional		$4,098.97	$4,098.97	$4,098.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $951.52 / $1,292.25 / $1,581.69	Professional		$951.52	$1,292.25	$1,581.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,109.00	Facility		$5,799.00	$12,341.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.52 / $1,353.45 / $3,079.58	Professional		$1,003.52	$1,353.45	$3,079.58