Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $9,727.00 / $20,509.00	Facility		$3,696.00	$9,727.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.38 / $720.16 / $3,554.00	Professional		$630.38	$720.16	$3,554.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $832.24 / $1,090.80 / $2,097.25	Professional		$832.24	$1,090.80	$2,097.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,559.83	Facility		$66.00	$100.00	$20,559.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $451.44 / $696.48 / $1,707.59	Professional		$451.44	$696.48	$1,707.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $12,122.00 / $14,696.00	Facility		$3,613.43	$12,122.00	$14,696.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.11 / $860.77 / $2,515.06	Professional		$651.11	$860.77	$2,515.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $481.76 / $735.59 / $993.05	Professional		$481.76	$735.59	$993.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.42 / $845.93 / $1,518.29	Professional		$658.42	$845.93	$1,518.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,233.74 / $16,223.75 / $26,542.00	Facility		$4,233.74	$16,223.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,850.93 / $4,888.96 / $5,463.15	Professional		$4,850.93	$4,888.96	$5,463.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.30 / $899.41 / $1,407.83	Facility		$681.30	$899.41	$1,407.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $654.79 / $869.77 / $1,857.58	Professional		$654.79	$869.77	$1,857.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,144.85 / $2,144.85 / $2,144.85	Professional		$2,144.85	$2,144.85	$2,144.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $481.76 / $722.63 / $911.30	Professional		$481.76	$722.63	$911.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,555.00 / $29,312.00	Facility		$7,696.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.27 / $814.42 / $2,313.23	Professional		$549.27	$814.42	$2,313.23