Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,648.00 / $18,681.00	Facility		$1,956.72	$7,648.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.88 / $431.31 / $2,195.28	Professional		$399.88	$431.31	$2,195.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.17 / $622.79 / $1,218.09	Professional		$475.17	$622.79	$1,218.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,792.24	Facility		$66.00	$100.00	$9,792.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $273.57 / $424.29 / $1,034.79	Professional		$273.57	$424.29	$1,034.79
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 $414.54 / $546.67 / $1,665.73	Professional		$414.54	$546.67	$1,665.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $431.87 / $525.53 / $816.93	Professional		$431.87	$525.53	$816.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.32 / $547.72 / $977.98	Professional		$421.32	$547.72	$977.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,538.56 / $9,388.90 / $26,542.00	Facility		$1,538.56	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,439.00 / $3,439.00 / $3,483.45	Professional		$3,439.00	$3,439.00	$3,483.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.85 / $569.04 / $771.65	Facility		$421.85	$569.04	$771.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $421.32 / $552.35 / $1,185.22	Professional		$421.32	$552.35	$1,185.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,362.13 / $1,362.13 / $1,362.13	Professional		$1,362.13	$1,362.13	$1,362.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $431.87 / $544.62 / $816.93	Professional		$431.87	$544.62	$816.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.17 / $489.75 / $1,404.35	Professional		$345.17	$489.75	$1,404.35