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 $720.52 / $833.81 / $4,220.60	Professional		$720.52	$833.81	$4,220.60
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 $878.51 / $1,182.28 / $2,266.71	Professional		$878.51	$1,182.28	$2,266.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,724.66	Facility		$66.00	$100.00	$9,724.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $533.80 / $821.85 / $2,019.16	Professional		$533.80	$821.85	$2,019.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.88 / $1,042.68 / $2,994.59	Professional		$769.88	$1,042.68	$2,994.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $899.50 / $989.45 / $1,345.80	Professional		$899.50	$989.45	$1,345.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.23 / $1,034.43 / $1,855.45	Professional		$804.23	$1,034.43	$1,855.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,953.72 / $5,444.45 / $26,542.00	Facility		$2,953.72	$5,444.45	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,839.68 / $5,965.36 / $6,670.88	Professional		$5,839.68	$5,965.36	$6,670.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $818.01 / $1,030.03 / $1,553.21	Facility		$818.01	$1,030.03	$1,553.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $779.27 / $1,062.01 / $2,252.17	Professional		$779.27	$1,062.01	$2,252.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,618.79 / $2,618.79 / $2,618.79	Professional		$2,618.79	$2,618.79	$2,618.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $7,352.00 / $15,471.00	Facility		$3,087.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.64 / $915.29 / $2,566.63	Professional		$647.64	$915.29	$2,566.63