Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.04 / $554.28 / $2,811.21	Professional		$500.04	$554.28	$2,811.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.88 / $799.36 / $1,565.55	Professional		$609.88	$799.36	$1,565.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,317.12	Facility		$66.00	$100.00	$10,317.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.42 / $549.62 / $1,344.93	Professional		$354.42	$549.62	$1,344.93
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 $528.78 / $700.04 / $2,120.84	Professional		$528.78	$700.04	$2,120.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $608.00 / $820.80	Professional		$328.74	$608.00	$820.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.55 / $699.16 / $1,247.68	Professional		$538.55	$699.16	$1,247.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,970.32 / $14,302.50 / $26,542.00	Facility		$1,970.32	$14,302.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,895.44 / $3,983.12 / $4,457.18	Professional		$3,895.44	$3,983.12	$4,457.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.65 / $705.38 / $974.21	Facility		$550.65	$705.38	$974.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $538.55 / $714.40 / $1,519.49	Professional		$538.55	$714.40	$1,519.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,744.28 / $1,744.28 / $1,744.28	Professional		$1,744.28	$1,744.28	$1,744.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $547.10 / $675.10	Professional		$328.74	$547.10	$675.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,884.00 / $9,465.00 / $20,495.00	Facility		$4,884.00	$9,465.00	$20,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.08 / $655.70 / $1,876.00	Professional		$430.08	$655.70	$1,876.00