Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.23 / $573.04 / $3,050.50	Professional		$508.23	$573.04	$3,050.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.09 / $945.08 / $1,744.07	Professional		$692.09	$945.08	$1,744.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,539.24	Facility		$66.00	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.15 / $619.30 / $1,506.02	Professional		$398.15	$619.30	$1,506.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.77 / $732.37 / $2,079.03	Professional		$534.77	$732.37	$2,079.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $663.66 / $734.72 / $1,102.08	Professional		$663.66	$734.72	$1,102.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.36 / $763.21 / $1,348.07	Professional		$592.36	$763.21	$1,348.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,177.12 / $12,623.50 / $26,542.00	Facility		$2,177.12	$12,623.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,239.12 / $4,373.60 / $4,969.72	Professional		$4,239.12	$4,373.60	$4,969.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $601.89 / $762.45 / $1,236.11	Facility		$601.89	$762.45	$1,236.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $542.33 / $758.89 / $1,636.79	Professional		$542.33	$758.89	$1,636.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,892.76 / $1,892.76 / $1,892.76	Professional		$1,892.76	$1,892.76	$1,892.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $597.66 / $736.49 / $1,249.02	Professional		$597.66	$736.49	$1,249.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,267.00 / $26,451.00	Facility		$5,284.00	$12,267.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.63 / $672.40 / $1,712.46	Professional		$458.63	$672.40	$1,712.46