Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.08 / $6,631.00 / $17,538.00	Facility		$1,578.08	$6,631.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $1,509.12 / $6,993.92	Professional		$275.45	$1,509.12	$6,993.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,028.00 / $15,328.00	Facility		$2,696.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.83 / $1,631.35 / $5,001.47	Professional		$468.83	$1,631.35	$5,001.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,261.45	Facility		$66.00	$100.00	$7,261.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $1,170.06 / $3,025.75	Professional		$293.94	$1,170.06	$3,025.75
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 $319.38 / $1,243.02 / $3,309.01	Professional		$319.38	$1,243.02	$3,309.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $369.67 / $2,317.28	Professional		$253.54	$369.67	$2,317.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $1,072.23 / $2,605.73	Professional		$289.25	$1,072.23	$2,605.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,722.25 / $2,722.25	Facility		$55.00	$2,722.25	$2,722.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,527.68 / $10,546.00 / $12,461.25	Professional		$5,527.68	$10,546.00	$12,461.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.18 / $1,528.76 / $2,463.02	Facility		$318.18	$1,528.76	$2,463.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.23 / $1,229.56 / $3,358.75	Professional		$324.23	$1,229.56	$3,358.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $970.38 / $970.38 / $5,408.73	Professional		$970.38	$970.38	$5,408.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $354.95 / $2,147.01	Professional		$253.54	$354.95	$2,147.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,758.00 / $22,073.00	Facility		$4,728.00	$9,758.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,278.48 / $1,963.38 / $4,692.43	Professional		$1,278.48	$1,963.38	$4,692.43