Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.97 / $821.35 / $4,438.97	Professional		$733.97	$821.35	$4,438.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.05 / $1,151.78 / $2,413.48	Professional		$858.05	$1,151.78	$2,413.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,429.24	Facility		$66.00	$100.00	$6,429.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $628.63 / $989.94 / $2,377.83	Professional		$628.63	$989.94	$2,377.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.75 / $1,105.57 / $3,140.90	Professional		$814.75	$1,105.57	$3,140.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $991.69 / $1,090.85 / $1,955.09	Professional		$991.69	$1,090.85	$1,955.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.67 / $1,107.17 / $1,965.99	Professional		$851.67	$1,107.17	$1,965.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,615.26 / $7,909.30 / $12,000.00	Facility		$4,615.26	$7,909.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,038.32 / $6,254.56 / $7,034.18	Professional		$6,038.32	$6,254.56	$7,034.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $744.74 / $1,072.35 / $1,588.70	Facility		$744.74	$1,072.35	$1,588.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $804.55 / $1,125.06 / $2,467.38	Professional		$804.55	$1,125.06	$2,467.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,754.30 / $2,754.30 / $2,754.30	Professional		$2,754.30	$2,754.30	$2,754.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.56 / $984.82 / $2,734.47	Professional		$672.56	$984.82	$2,734.47