Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,880.00 / $18,293.00	Facility		$2,197.85	$6,880.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.35 / $664.22 / $2,467.65	Professional		$554.35	$664.22	$2,467.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.76 / $873.84 / $1,707.59	Professional		$664.76	$873.84	$1,707.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,015.73	Facility		$66.00	$100.00	$8,015.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $408.13 / $632.03 / $1,543.77	Professional		$408.13	$632.03	$1,543.77
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 $576.46 / $759.50 / $2,321.94	Professional		$576.46	$759.50	$2,321.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $514.15 / $664.22 / $972.57	Professional		$514.15	$664.22	$972.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.16 / $763.85 / $1,375.52	Professional		$592.16	$763.85	$1,375.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,172.36 / $9,388.90 / $26,542.00	Facility		$2,172.36	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,293.28 / $4,388.72 / $4,909.88	Professional		$4,293.28	$4,388.72	$4,909.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.37 / $797.68 / $1,084.71	Facility		$607.37	$797.68	$1,084.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $585.25 / $771.67 / $1,677.79	Professional		$585.25	$771.67	$1,677.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,928.44 / $1,928.44 / $1,928.44	Professional		$1,928.44	$1,928.44	$1,928.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $514.15 / $737.44 / $972.57	Professional		$514.15	$737.44	$972.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.22 / $710.02 / $1,983.43	Professional		$488.22	$710.02	$1,983.43