Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $7,261.00 / $18,762.40	Facility		$1,680.00	$7,261.00	$18,762.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.23 / $1,743.29 / $9,255.25	Professional		$164.23	$1,743.29	$9,255.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.08 / $864.67 / $5,159.84	Professional		$227.08	$864.67	$5,159.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,620.13	Facility		$66.00	$100.00	$5,620.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $701.21 / $3,469.15	Professional		$164.60	$701.21	$3,469.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,066.05 / $3,623.52 / $8,536.70	Facility		$3,066.05	$3,623.52	$8,536.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.07 / $1,969.52 / $6,804.36	Professional		$202.07	$1,969.52	$6,804.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $220.50 / $2,933.18 / $3,519.82	Professional		$220.50	$2,933.18	$3,519.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.55 / $2,061.34 / $4,165.00	Professional		$207.55	$2,061.34	$4,165.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $961.64 / $998.64	Facility		$55.00	$961.64	$998.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,151.68 / $15,827.41 / $18,523.88	Professional		$8,151.68	$15,827.41	$18,523.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.57 / $2,036.52 / $3,943.02	Facility		$226.57	$2,036.52	$3,943.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.09 / $1,969.52 / $6,538.48	Professional		$204.09	$1,969.52	$6,538.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $670.17 / $670.17 / $9,265.56	Professional		$670.17	$670.17	$9,265.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,761.46 / $2,802.00 / $8,598.10	Professional		$1,761.46	$2,802.00	$8,598.10