Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.54 / $990.69 / $5,655.44	Professional		$865.54	$990.69	$5,655.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.95 / $1,596.33 / $3,126.00	Professional		$1,172.95	$1,596.33	$3,126.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $656.82 / $1,035.33 / $2,551.78	Professional		$656.82	$1,035.33	$2,551.78
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 $917.84 / $1,357.90 / $3,919.13	Professional		$917.84	$1,357.90	$3,919.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,349.88 / $1,831.05	Professional		$967.98	$1,349.88	$1,831.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,131.94 / $1,484.87 / $2,635.56	Professional		$1,131.94	$1,484.87	$2,635.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,068.70 / $16,547.20 / $26,542.00	Facility		$6,068.70	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,474.04 / $9,474.04 / $9,474.04	Professional		$9,474.04	$9,474.04	$9,474.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,005.18 / $1,419.53 / $2,323.19	Facility		$1,005.18	$1,419.53	$2,323.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $968.68 / $1,427.29 / $3,126.20	Professional		$968.68	$1,427.29	$3,126.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,509.08 / $3,509.08 / $3,509.08	Professional		$3,509.08	$3,509.08	$3,509.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,451.97 / $1,831.05	Professional		$967.98	$1,451.97	$1,831.05
United Facility/Professional Facility Modifier Low / Median / High Price $6,167.00 / $11,377.00 / $25,650.00	Facility		$6,167.00	$11,377.00	$25,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.18 / $1,195.67 / $3,705.56	Professional		$819.18	$1,195.67	$3,705.56