Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,826.89 / $5,458.70	Facility		$570.00	$1,826.89	$5,458.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.20 / $630.79 / $646.00	Professional		$414.20	$630.79	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $1,468.09 / $3,784.04	Facility		$614.00	$1,468.09	$3,784.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $866.67 / $1,686.31	Professional		$390.00	$866.67	$1,686.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $549.48 / $2,143.19	Facility		$92.60	$549.48	$2,143.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $494.00 / $1,241.86	Professional		$345.80	$494.00	$1,241.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.93 / $879.32 / $1,921.66	Facility		$508.93	$879.32	$1,921.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.79 / $516.79 / $516.79	Professional		$516.79	$516.79	$516.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $912.00 / $1,216.00	Professional		$760.00	$912.00	$1,216.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $874.00 / $1,451.60	Professional		$684.00	$874.00	$1,451.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.40 / $3,610.00 / $3,610.00	Facility		$1,322.40	$3,610.00	$3,610.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $5,700.00	Professional		$3,800.00	$3,800.00	$5,700.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $534.17 / $978.12 / $1,926.60	Facility		$534.17	$978.12	$1,926.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,094.40	Professional		$760.00	$836.00	$1,094.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Professional		$760.00	$760.00	$760.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $684.00 / $1,033.59	Professional		$608.00	$684.00	$1,033.59
United Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $912.00 / $912.00	Facility		$912.00	$912.00	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $343.30 / $1,525.32	Professional		$319.20	$343.30	$1,525.32