Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.73 / $5,856.00 / $17,030.00	Facility		$1,096.73	$5,856.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $970.75 / $4,006.71	Professional		$305.77	$970.75	$4,006.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,707.00	Facility		$2,143.00	$6,048.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.47 / $1,160.99 / $2,299.37	Professional		$425.47	$1,160.99	$2,299.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.90	Facility		$66.00	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $335.59 / $797.42 / $1,721.63	Professional		$335.59	$797.42	$1,721.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.95 / $3,801.95 / $4,493.21	Facility		$3,801.95	$3,801.95	$4,493.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $898.53 / $2,224.00	Professional		$326.86	$898.53	$2,224.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $387.49 / $1,926.76	Professional		$138.50	$387.49	$1,926.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.55 / $940.53 / $1,887.71	Professional		$321.55	$940.53	$1,887.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,070.58 / $2,070.58 / $16,394.00	Facility		$2,070.58	$2,070.58	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,204.42 / $7,853.44 / $9,393.00	Professional		$4,204.42	$7,853.44	$9,393.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.69 / $877.43 / $1,802.56	Facility		$332.69	$877.43	$1,802.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.86 / $898.09 / $2,490.91	Professional		$326.86	$898.09	$2,490.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,021.36 / $1,021.36 / $3,679.32	Professional		$1,021.36	$1,021.36	$3,679.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $32,191.00	Facility		$7,696.00	$13,722.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $846.72 / $1,246.70 / $3,090.29	Professional		$846.72	$1,246.70	$3,090.29