Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,534.31 / $9,397.00 / $21,960.90	Facility		$1,534.31	$9,397.00	$21,960.90
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $453.90 / $488.39 / $3,052.19	Facility	52	$453.90	$488.39	$3,052.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.70 / $1,103.51 / $4,835.00	Professional		$907.70	$1,103.51	$4,835.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.31 / $1,497.65 / $2,871.19	Professional		$1,034.31	$1,497.65	$2,871.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,559.83	Facility		$66.00	$100.00	$20,559.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $701.75 / $1,105.66 / $2,681.97	Professional		$701.75	$1,105.66	$2,681.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.74 / $1,273.68 / $3,580.74	Professional		$927.74	$1,273.68	$3,580.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $702.90 / $1,221.59 / $1,649.16	Professional		$702.90	$1,221.59	$1,649.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.45 / $1,356.49 / $2,413.29	Professional		$1,043.45	$1,356.49	$2,413.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,641.26 / $16,547.20 / $26,542.00	Facility		$5,641.26	$16,547.20	$26,542.00
Lucent Health Facility/Professional Facility Modifier 52 Low / Median / High Price $1,871.70 / $12,547.52 / $12,547.52	Facility	52	$1,871.70	$12,547.52	$12,547.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,671.04 / $7,671.04 / $8,607.75	Professional		$7,671.04	$7,671.04	$8,607.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,024.01 / $1,316.34 / $1,954.56	Facility		$1,024.01	$1,316.34	$1,954.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.21 / $1,366.84 / $2,965.16	Professional		$945.21	$1,366.84	$2,965.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,274.50 / $3,274.50 / $3,274.50	Professional		$3,274.50	$3,274.50	$3,274.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $702.90 / $1,110.16 / $1,356.86	Professional		$702.90	$1,110.16	$1,356.86
United Facility/Professional Facility Modifier Low / Median / High Price $6,667.00 / $11,671.00 / $25,650.00	Facility		$6,667.00	$11,671.00	$25,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $796.72 / $1,141.59 / $3,593.52	Professional		$796.72	$1,141.59	$3,593.52