Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $9,403.00 / $20,509.00	Facility		$3,546.09	$9,403.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.35 / $800.97 / $4,174.72	Professional		$712.35	$800.97	$4,174.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $9,644.00 / $19,252.00	Facility		$3,275.00	$9,644.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.70 / $1,233.47 / $2,360.48	Professional		$936.70	$1,233.47	$2,360.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,847.40	Facility		$66.00	$100.00	$11,847.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $944.50 / $2,313.39	Professional		$615.41	$944.50	$2,313.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $12,122.00 / $14,932.00	Facility		$6,185.09	$12,122.00	$14,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.87 / $1,008.01 / $2,920.37	Professional		$781.87	$1,008.01	$2,920.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $869.74 / $956.71 / $6,864.44	Professional		$869.74	$956.71	$6,864.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.77 / $1,002.73 / $1,793.49	Professional		$782.77	$1,002.73	$1,793.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,130.93 / $26,542.00 / $27,770.10	Facility		$5,130.93	$26,542.00	$27,770.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,544.97 / $6,544.97 / $6,674.93	Professional		$6,544.97	$6,544.97	$6,674.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $813.18 / $1,061.50 / $1,575.86	Facility		$813.18	$1,061.50	$1,575.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $781.87 / $1,029.69 / $2,254.12	Professional		$781.87	$1,029.69	$2,254.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,590.34 / $2,590.34 / $2,590.34	Professional		$2,590.34	$2,590.34	$2,590.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,784.00 / $29,571.00	Facility		$7,212.00	$13,784.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.30 / $903.69 / $2,536.04	Professional		$643.30	$903.69	$2,536.04