Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.19 / $6,880.00 / $18,252.00	Facility		$1,820.19	$6,880.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.73 / $1,566.47 / $3,505.25	Professional		$328.73	$1,566.47	$3,505.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,727.00 / $17,774.00	Facility		$3,204.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.96 / $2,409.63 / $5,163.56	Professional		$531.96	$2,409.63	$5,163.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $8,038.89	Facility		$66.09	$100.00	$8,038.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $350.26 / $1,272.48 / $3,017.75	Professional		$350.26	$1,272.48	$3,017.75
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 $381.77 / $1,478.54 / $3,295.75	Professional		$381.77	$1,478.54	$3,295.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $303.05 / $428.34 / $2,227.42	Professional		$303.05	$428.34	$2,227.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.66 / $1,070.84 / $2,506.77	Professional		$333.66	$1,070.84	$2,506.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,383.09 / $2,641.39	Facility		$55.00	$2,383.09	$2,641.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,363.49 / $10,238.40 / $12,055.35	Professional		$5,363.49	$10,238.40	$12,055.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.03 / $1,477.28 / $2,509.87	Facility		$367.03	$1,477.28	$2,509.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.04 / $1,132.79 / $3,551.06	Professional		$384.04	$1,132.79	$3,551.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,129.39 / $1,129.39 / $5,332.11	Professional		$1,129.39	$1,129.39	$5,332.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $303.05 / $395.91 / $2,063.48	Professional		$303.05	$395.91	$2,063.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,004.21 / $9,713.00 / $21,278.00	Facility		$5,004.21	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.82 / $2,034.10 / $4,921.34	Professional		$1,301.82	$2,034.10	$4,921.34