Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $2,283.61 / $6,823.38	Facility		$712.50	$2,283.61	$6,823.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.75 / $788.50 / $807.50	Professional		$517.75	$788.50	$807.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $1,835.12 / $4,730.05	Facility		$614.00	$1,835.12	$4,730.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $494.00 / $1,778.40	Professional		$380.00	$494.00	$1,778.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $8,616.50	Facility		$58.70	$100.00	$8,616.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $432.25 / $617.50 / $1,552.33	Professional		$432.25	$617.50	$1,552.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.75 / $1,593.15 / $3,180.13	Facility		$645.75	$1,593.15	$3,180.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $950.00 / $1,282.50	Professional		$760.00	$950.00	$1,282.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,092.50 / $1,852.50	Professional		$855.00	$1,092.50	$1,852.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,653.00 / $4,512.50 / $4,512.50	Facility		$1,653.00	$4,512.50	$4,512.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,750.00 / $4,750.00 / $7,125.00	Professional		$4,750.00	$4,750.00	$7,125.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,140.00 / $2,725.03	Facility		$760.00	$1,140.00	$2,725.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $1,045.00 / $1,368.00	Professional		$950.00	$1,045.00	$1,368.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Professional		$950.00	$950.00	$950.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $855.00 / $1,292.00	Professional		$760.00	$855.00	$1,292.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $1,906.65	Professional		$399.00	$399.00	$1,906.65