Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,965.09 / $12,301.00 / $36,144.83	Facility		$2,965.09	$12,301.00	$36,144.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.63 / $572.38 / $2,336.59	Professional		$485.63	$572.38	$2,336.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,751.00 / $9,905.00 / $23,548.00	Facility		$3,751.00	$9,905.00	$23,548.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.49 / $939.55 / $1,791.43	Professional		$744.49	$939.55	$1,791.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $22,957.54	Facility		$65.90	$100.00	$22,957.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $393.45 / $602.11 / $1,332.11	Professional		$393.45	$602.11	$1,332.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,714.37 / $12,149.00 / $25,976.00	Facility		$9,714.37	$12,149.00	$25,976.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.45 / $644.79 / $1,592.63	Professional		$526.45	$644.79	$1,592.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $550.87 / $744.60 / $10,781.36	Professional		$550.87	$744.60	$10,781.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.99 / $632.10 / $1,153.82	Professional		$491.99	$632.10	$1,153.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,361.00 / $16,026.00 / $43,616.05	Facility		$2,361.00	$16,026.00	$43,616.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,155.88 / $7,286.89 / $7,286.89	Professional		$7,155.88	$7,286.89	$7,286.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.35 / $710.08 / $1,365.00	Facility		$520.35	$710.08	$1,365.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $527.55 / $639.10 / $1,473.21	Professional		$527.55	$639.10	$1,473.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,671.13 / $1,671.13 / $1,671.13	Professional		$1,671.13	$1,671.13	$1,671.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $503.36 / $939.00 / $1,408.50	Professional		$503.36	$939.00	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $10,222.00 / $19,674.00 / $51,670.00	Facility		$10,222.00	$19,674.00	$51,670.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.78 / $631.61 / $1,479.87	Professional		$438.78	$631.61	$1,479.87