Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,570.00 / $16,713.00	Facility		$1,208.95	$5,570.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.96 / $1,266.40 / $6,782.96	Professional		$1,018.96	$1,266.40	$6,782.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,720.00 / $10,404.00	Facility		$1,882.00	$4,720.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.36 / $1,980.98 / $3,675.00	Professional		$1,380.36	$1,980.98	$3,675.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,999.02	Facility		$66.00	$100.00	$5,999.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $966.42 / $1,392.09 / $3,118.30	Professional		$966.42	$1,392.09	$3,118.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.00 / $6,067.55 / $10,867.25	Facility		$1,487.00	$6,067.55	$10,867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,193.31 / $1,628.66 / $3,542.08	Professional		$1,193.31	$1,628.66	$3,542.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $689.87 / $1,460.09 / $1,971.12	Professional		$689.87	$1,460.09	$1,971.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.18 / $1,657.68 / $3,005.30	Professional		$1,180.18	$1,657.68	$3,005.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,045.90 / $12,000.00 / $17,524.30	Facility		$6,045.90	$12,000.00	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,045.50 / $10,045.50 / $11,109.38	Professional		$10,045.50	$10,045.50	$11,109.38
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 $1,195.89 / $1,613.57 / $2,208.96	Facility		$1,195.89	$1,613.57	$2,208.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,208.32 / $1,703.93 / $3,456.53	Professional		$1,208.32	$1,703.93	$3,456.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,208.71 / $4,208.71 / $4,208.71	Professional		$4,208.71	$4,208.71	$4,208.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $896.83 / $1,241.77 / $1,619.64	Professional		$896.83	$1,241.77	$1,619.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,313.00 / $26,451.00	Facility		$5,799.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.37 / $1,313.06 / $2,793.60	Professional		$1,017.37	$1,313.06	$2,793.60