Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,626.00 / $17,380.00	Facility		$1,820.00	$6,626.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.63 / $498.61 / $2,597.27	Professional		$384.63	$498.61	$2,597.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $14,981.00	Facility		$2,275.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.49 / $645.00 / $1,267.91	Professional		$450.49	$645.00	$1,267.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,190.83	Facility		$66.00	$100.00	$8,190.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.33 / $458.22 / $1,054.23	Professional		$316.33	$458.22	$1,054.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $2,256.40 / $3,075.60	Facility		$571.29	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.58 / $584.24 / $1,323.41	Professional		$414.58	$584.24	$1,323.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $579.55 / $782.41	Professional		$195.46	$579.55	$782.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.93 / $606.48 / $1,143.09	Professional		$455.93	$606.48	$1,143.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,653.14 / $11,500.00 / $26,542.00	Facility		$2,653.14	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,533.68 / $3,648.72 / $4,002.23	Professional		$3,533.68	$3,648.72	$4,002.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.45 / $665.87 / $947.37	Facility		$523.45	$665.87	$947.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $623.51 / $1,349.00	Professional		$424.47	$623.51	$1,349.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,611.56 / $1,611.56 / $1,611.56	Professional		$1,611.56	$1,611.56	$1,611.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $246.49 / $351.82 / $644.11	Professional		$246.49	$351.82	$644.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.73 / $486.51 / $1,285.90	Professional		$375.73	$486.51	$1,285.90