Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,281.00 / $17,902.00	Facility		$1,992.00	$7,281.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.96 / $760.33 / $3,972.94	Professional		$571.96	$760.33	$3,972.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.68 / $1,021.90 / $1,915.10	Professional		$724.68	$1,021.90	$1,915.10
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 $501.52 / $726.16 / $1,673.10	Professional		$501.52	$726.16	$1,673.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,726.46 / $2,353.27	Facility		$705.31	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.80 / $889.16 / $2,030.54	Professional		$640.80	$889.16	$2,030.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $974.35 / $1,408.50	Professional		$744.60	$974.35	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.58 / $927.72 / $1,748.87	Professional		$697.58	$927.72	$1,748.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,386.95 / $11,500.00 / $26,542.00	Facility		$3,386.95	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,413.04 / $5,574.16 / $6,129.45	Professional		$5,413.04	$5,574.16	$6,129.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.09 / $964.41 / $1,705.00	Facility		$775.09	$964.41	$1,705.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $640.80 / $954.76 / $2,056.75	Professional		$640.80	$954.76	$2,056.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,465.13 / $2,465.13 / $2,465.13	Professional		$2,465.13	$2,465.13	$2,465.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $984.38 / $1,596.30	Professional		$744.60	$984.38	$1,596.30
United Facility/Professional Facility Modifier Low / Median / High Price $3,701.06 / $7,042.00 / $14,636.00	Facility		$3,701.06	$7,042.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.55 / $748.32 / $1,676.10	Professional		$574.55	$748.32	$1,676.10