Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,870.00 / $19,368.00	Facility		$2,421.00	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.90 / $646.58 / $3,403.63	Professional		$533.90	$646.58	$3,403.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,447.00 / $18,544.00	Facility		$3,028.00	$9,447.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.52 / $923.21 / $1,793.25	Professional		$686.52	$923.21	$1,793.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $500.42 / $725.46 / $1,639.65	Professional		$500.42	$725.46	$1,639.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,203.00 / $5,729.24 / $10,261.32	Facility		$3,203.00	$5,729.24	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.85 / $817.15 / $1,772.61	Professional		$640.85	$817.15	$1,772.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $767.52 / $1,036.15	Professional		$521.22	$767.52	$1,036.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.76 / $852.94 / $1,529.64	Professional		$625.76	$852.94	$1,529.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,612.00 / $16,547.20	Facility		$2,000.00	$3,612.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,294.01 / $6,294.01 / $6,294.01	Professional		$6,294.01	$6,294.01	$6,294.01
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 $685.60 / $849.05 / $1,302.33	Facility		$685.60	$849.05	$1,302.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $640.85 / $845.78 / $1,714.05	Professional		$640.85	$845.78	$1,714.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,111.89 / $2,111.89 / $2,111.89	Professional		$2,111.89	$2,111.89	$2,111.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $619.91 / $781.83 / $985.95	Professional		$619.91	$781.83	$985.95
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 $504.64 / $670.81 / $1,437.33	Professional		$504.64	$670.81	$1,437.33