Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,218.00 / $17,380.00	Facility		$1,539.00	$6,218.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.98 / $524.39 / $2,564.30	Professional		$461.98	$524.39	$2,564.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.44 / $720.14 / $1,417.37	Professional		$549.44	$720.14	$1,417.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,374.24	Facility		$66.00	$100.00	$7,374.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.49 / $534.73 / $1,306.84	Professional		$345.49	$534.73	$1,306.84
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 $483.30 / $639.26 / $1,937.80	Professional		$483.30	$639.26	$1,937.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $414.37 / $554.92 / $783.83	Professional		$414.37	$554.92	$783.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.39 / $638.16 / $1,124.31	Professional		$492.39	$638.16	$1,124.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,253.50 / $9,388.90 / $16,394.00	Facility		$2,253.50	$9,388.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,505.85 / $4,505.85 / $4,505.85	Professional		$4,505.85	$4,505.85	$4,505.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.61 / $672.16 / $966.70	Facility		$520.61	$672.16	$966.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $492.39 / $644.23 / $1,386.81	Professional		$492.39	$644.23	$1,386.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,591.11 / $1,591.11 / $1,591.11	Professional		$1,591.11	$1,591.11	$1,591.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $414.37 / $616.14 / $783.83	Professional		$414.37	$616.14	$783.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.29 / $586.44 / $1,519.57	Professional		$392.29	$586.44	$1,519.57