Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.05 / $527.44 / $2,572.67	Professional		$468.05	$527.44	$2,572.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.31 / $739.32 / $1,421.49	Professional		$507.31	$739.32	$1,421.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.90	Facility		$66.00	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $358.64 / $538.78 / $1,335.58	Professional		$358.64	$538.78	$1,335.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.04 / $640.42 / $1,953.48	Professional		$485.04	$640.42	$1,953.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $219.28 / $529.12 / $714.31	Professional		$219.28	$529.12	$714.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $476.21 / $610.91 / $1,091.10	Professional		$476.21	$610.91	$1,091.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,569.76 / $9,388.90	Facility		$55.00	$3,569.76	$9,388.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,531.36 / $3,613.44 / $4,016.10	Professional		$3,531.36	$3,613.44	$4,016.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $484.05 / $630.54 / $967.98	Facility		$484.05	$630.54	$967.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.04 / $640.42 / $1,380.71	Professional		$485.04	$640.42	$1,380.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,596.29 / $1,596.29 / $1,596.29	Professional		$1,596.29	$1,596.29	$1,596.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $219.28 / $387.15 / $587.27	Professional		$219.28	$387.15	$587.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,699.00 / $7,655.00	Facility		$1,046.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.24 / $605.53 / $1,606.27	Professional		$408.24	$605.53	$1,606.27