Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.67 / $6,695.00 / $18,252.00	Facility		$584.67	$6,695.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.29 / $536.63 / $2,275.66	Professional		$397.29	$536.63	$2,275.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.17 / $659.48 / $1,267.98	Professional		$503.17	$659.48	$1,267.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,419.62	Facility		$66.00	$100.00	$10,419.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $404.75 / $578.22 / $1,429.36	Professional		$404.75	$578.22	$1,429.36
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 $443.89 / $648.94 / $1,482.72	Professional		$443.89	$648.94	$1,482.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $329.11 / $503.95 / $831.27	Professional		$329.11	$503.95	$831.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.60 / $592.09 / $1,058.00	Professional		$398.60	$592.09	$1,058.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,704.92 / $2,720.46 / $26,542.00	Facility		$2,704.92	$2,720.46	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,878.96 / $3,936.22 / $4,384.05	Professional		$2,878.96	$3,936.22	$4,384.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.59 / $645.91 / $969.00	Facility		$470.59	$645.91	$969.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.38 / $676.91 / $1,380.99	Professional		$446.38	$676.91	$1,380.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,412.00 / $1,412.00 / $1,956.57	Professional		$1,412.00	$1,412.00	$1,956.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $370.14 / $508.94 / $710.61	Professional		$370.14	$508.94	$710.61
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.60 / $657.93 / $2,060.40	Professional		$463.60	$657.93	$2,060.40