Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,710.00 / $9,324.32 / $25,551.00	Facility		$2,710.00	$9,324.32	$25,551.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.03 / $3,238.79 / $15,055.18	Professional		$552.03	$3,238.79	$15,055.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,751.00 / $9,830.00 / $19,252.00	Facility		$3,751.00	$9,830.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.23 / $13,768.41 / $27,926.52	Professional		$775.23	$13,768.41	$27,926.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $6,859.59	Facility		$65.90	$100.00	$6,859.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $559.13 / $2,278.44 / $16,959.14	Professional		$559.13	$2,278.44	$16,959.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,249.57 / $8,249.57 / $9,749.49	Facility		$8,249.57	$8,249.57	$9,749.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.91 / $8,050.18 / $19,721.30	Professional		$609.91	$8,050.18	$19,721.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $510.05 / $705.59 / $13,154.14	Professional		$510.05	$705.59	$13,154.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.76 / $5,480.89 / $14,798.40	Professional		$541.76	$5,480.89	$14,798.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,407.70 / $13,407.70	Facility		$55.00	$13,407.70	$13,407.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,239.79 / $58,351.86 / $68,430.30	Professional		$30,239.79	$58,351.86	$68,430.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $595.94 / $8,249.57 / $14,409.29	Facility		$595.94	$8,249.57	$14,409.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.01 / $2,333.64 / $20,611.50	Professional		$617.01	$2,333.64	$20,611.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,842.83 / $1,842.83 / $32,771.79	Professional		$1,842.83	$1,842.83	$32,771.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $510.05 / $663.07 / $12,192.48	Professional		$510.05	$663.07	$12,192.48
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $46,770.00	Facility		$8,830.00	$18,191.00	$46,770.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,898.71 / $11,695.09 / $27,671.77	Professional		$7,898.71	$11,695.09	$27,671.77