Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.14 / $892.79 / $4,870.39	Professional		$810.14	$892.79	$4,870.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $940.62 / $1,356.27 / $2,642.05	Professional		$940.62	$1,356.27	$2,642.05
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $693.76 / $1,088.48 / $2,624.18	Professional		$693.76	$1,088.48	$2,624.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.26 / $1,210.33 / $3,429.31	Professional		$901.26	$1,210.33	$3,429.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,075.50 / $1,451.93	Professional		$744.60	$1,075.50	$1,451.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.46 / $1,212.20 / $2,180.52	Professional		$932.46	$1,212.20	$2,180.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,073.89 / $16,547.20 / $26,542.00	Facility		$5,073.89	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,284.73 / $10,284.73 / $10,284.73	Professional		$10,284.73	$10,284.73	$10,284.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $961.22 / $1,262.17 / $2,148.96	Facility		$961.22	$1,262.17	$2,148.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $887.37 / $1,228.08 / $2,681.78	Professional		$887.37	$1,228.08	$2,681.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,021.99 / $3,021.99 / $3,021.99	Professional		$3,021.99	$3,021.99	$3,021.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,116.90 / $1,408.50	Professional		$744.60	$1,116.90	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,672.00	Facility		$5,799.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $740.88 / $1,063.05 / $3,136.99	Professional		$740.88	$1,063.05	$3,136.99