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 $339.50 / $382.81 / $1,867.60	Professional		$339.50	$382.81	$1,867.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,705.00	Facility		$1,759.00	$4,814.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.75 / $535.63 / $1,044.60	Professional		$412.75	$535.63	$1,044.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $273.50 / $417.91 / $1,023.38	Professional		$273.50	$417.91	$1,023.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.70 / $465.84 / $1,411.99	Professional		$352.70	$465.84	$1,411.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $384.71 / $519.36	Professional		$156.37	$384.71	$519.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.24 / $443.93 / $792.15	Professional		$346.24	$443.93	$792.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,263.87 / $12,000.00 / $14,302.50	Facility		$2,263.87	$12,000.00	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,560.08 / $2,618.64 / $2,911.35	Professional		$2,560.08	$2,618.64	$2,911.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.67 / $472.25 / $663.01	Facility		$354.67	$472.25	$663.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $352.70 / $465.84 / $1,001.94	Professional		$352.70	$465.84	$1,001.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,158.81 / $1,158.81 / $1,158.81	Professional		$1,158.81	$1,158.81	$1,158.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $156.37 / $276.07 / $427.02	Professional		$156.37	$276.07	$427.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,163.00 / $16,148.00	Facility		$3,698.00	$7,163.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.08 / $452.76 / $1,283.88	Professional		$297.08	$452.76	$1,283.88