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 / $17,902.00	Facility		$1,820.00	$6,880.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.80 / $1,385.97 / $7,153.62	Professional		$1,160.80	$1,385.97	$7,153.62
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 $1,466.45 / $2,188.55 / $3,988.80	Professional		$1,466.45	$2,188.55	$3,988.80
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 $1,028.09 / $1,474.49 / $3,361.00	Professional		$1,028.09	$1,474.49	$3,361.00
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 $1,321.84 / $1,698.96 / $3,835.55	Professional		$1,321.84	$1,698.96	$3,835.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $791.88 / $1,544.38 / $2,084.91	Professional		$791.88	$1,544.38	$2,084.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,247.19 / $1,752.16 / $3,176.60	Professional		$1,247.19	$1,752.16	$3,176.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,383.95 / $17,524.30 / $26,542.00	Facility		$6,383.95	$17,524.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,776.75 / $10,776.75 / $11,733.60	Professional		$10,776.75	$10,776.75	$11,733.60
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 $1,413.03 / $1,740.90 / $2,343.51	Facility		$1,413.03	$1,740.90	$2,343.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,323.44 / $1,793.37 / $3,651.18	Professional		$1,323.44	$1,793.37	$3,651.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,438.68 / $4,438.68 / $4,438.68	Professional		$4,438.68	$4,438.68	$4,438.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,029.45 / $1,398.08 / $1,713.18	Professional		$1,029.45	$1,398.08	$1,713.18
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,451.00	Facility		$5,799.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.70 / $1,429.92 / $3,335.26	Professional		$1,101.70	$1,429.92	$3,335.26