Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,648.00 / $18,293.00	Facility		$2,197.85	$7,648.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.51 / $645.29 / $2,410.05	Professional		$532.51	$645.29	$2,410.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $9,030.00 / $17,774.00	Facility		$2,776.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.26 / $863.63 / $1,766.54	Professional		$634.26	$863.63	$1,766.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,063.87	Facility		$66.00	$100.00	$10,063.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $544.12 / $778.03 / $1,717.97	Professional		$544.12	$778.03	$1,717.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.00 / $6,894.76 / $12,348.83	Facility		$2,813.00	$6,894.76	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.23 / $834.01 / $1,814.43	Professional		$636.23	$834.01	$1,814.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $309.01 / $851.68 / $1,149.77	Professional		$309.01	$851.68	$1,149.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.12 / $915.86 / $1,660.08	Professional		$671.12	$915.86	$1,660.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,550.56 / $19,913.50 / $26,542.00	Facility		$2,550.56	$19,913.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,955.76 / $5,124.56 / $5,897.40	Professional		$4,955.76	$5,124.56	$5,897.40
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 $664.89 / $901.03 / $1,234.94	Facility		$664.89	$901.03	$1,234.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.42 / $911.08 / $1,775.51	Professional		$649.42	$911.08	$1,775.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,104.38 / $2,104.38 / $2,104.38	Professional		$2,104.38	$2,104.38	$2,104.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $401.71 / $662.46 / $946.01	Professional		$401.71	$662.46	$946.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,218.00 / $9,131.00	Facility		$2,090.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.02 / $660.24 / $1,538.68	Professional		$493.02	$660.24	$1,538.68