Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.40 / $6,588.00 / $17,538.00	Facility		$1,182.40	$6,588.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $1,182.40 / $5,117.12	Professional		$277.08	$1,182.40	$5,117.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,270.00 / $16,106.00	Facility		$2,629.00	$7,270.00	$16,106.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.61 / $1,521.99 / $3,920.66	Professional		$443.61	$1,521.99	$3,920.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.53	Facility		$66.00	$100.00	$5,487.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $331.63 / $926.74 / $2,233.69	Professional		$331.63	$926.74	$2,233.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.92 / $1,146.64 / $2,952.09	Professional		$327.92	$1,146.64	$2,952.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.42 / $437.10 / $2,227.42	Professional		$338.42	$437.10	$2,227.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.74 / $1,002.27 / $2,436.17	Professional		$332.74	$1,002.27	$2,436.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,915.85 / $2,574.50 / $26,542.00	Facility		$1,915.85	$2,574.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,265.00 / $10,208.65 / $11,740.13	Professional		$5,265.00	$10,208.65	$11,740.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.01 / $1,182.40 / $2,301.84	Facility		$366.01	$1,182.40	$2,301.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.12 / $1,075.57 / $3,120.81	Professional		$330.12	$1,075.57	$3,120.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,060.20 / $1,060.20 / $4,992.43	Professional		$1,060.20	$1,060.20	$4,992.43
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $23,219.00	Facility		$5,116.00	$9,810.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.30 / $1,649.93 / $4,535.00	Professional		$1,127.30	$1,649.93	$4,535.00