Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $503.45 / $2,564.15	Professional		$444.00	$503.45	$2,564.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.11 / $880.80 / $1,654.48	Professional		$707.11	$880.80	$1,654.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $376.21 / $574.99 / $1,262.10	Professional		$376.21	$574.99	$1,262.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,091.14 / $2,471.35	Facility		$2,091.14	$2,091.14	$2,471.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.15 / $598.65 / $1,459.16	Professional		$488.15	$598.65	$1,459.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $548.79 / $658.56 / $2,320.83	Professional		$548.79	$658.56	$2,320.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.94 / $598.26 / $1,108.17	Professional		$477.94	$598.26	$1,108.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,611.67 / $9,388.90 / $26,542.00	Facility		$2,611.67	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,840.47 / $3,840.47 / $4,054.28	Professional		$3,840.47	$3,840.47	$4,054.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $506.80 / $682.41 / $977.70	Facility		$506.80	$682.41	$977.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.00 / $600.55 / $1,384.83	Professional		$489.00	$600.55	$1,384.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,591.00 / $1,591.00 / $1,591.00	Professional		$1,591.00	$1,591.00	$1,591.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.07 / $578.51 / $1,399.29	Professional		$405.07	$578.51	$1,399.29