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 $673.28 / $781.61 / $3,754.17	Professional		$673.28	$781.61	$3,754.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,727.00 / $17,774.00	Facility		$2,822.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $809.30 / $1,064.96 / $2,089.78	Professional		$809.30	$1,064.96	$2,089.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,714.18	Facility		$66.00	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $480.18 / $741.85 / $1,816.31	Professional		$480.18	$741.85	$1,816.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,128.87 / $2,515.92 / $5,927.32	Facility		$2,128.87	$2,515.92	$5,927.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $697.09 / $930.39 / $2,842.10	Professional		$697.09	$930.39	$2,842.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $520.85 / $805.55 / $1,087.49	Professional		$520.85	$805.55	$1,087.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.65 / $926.38 / $1,658.34	Professional		$717.65	$926.38	$1,658.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,605.64 / $9,558.29	Facility		$55.00	$4,605.64	$9,558.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,202.96 / $5,320.08 / $5,947.95	Professional		$5,202.96	$5,320.08	$5,947.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $734.52 / $962.79 / $1,403.08	Facility		$734.52	$962.79	$1,403.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.54 / $930.39 / $2,000.95	Professional		$705.54	$930.39	$2,000.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,329.38 / $2,329.38 / $2,329.38	Professional		$2,329.38	$2,329.38	$2,329.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $520.85 / $781.27 / $985.25	Professional		$520.85	$781.27	$985.25
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 $575.40 / $864.00 / $2,103.14	Professional		$575.40	$864.00	$2,103.14