Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,756.25 / $9,602.19 / $26,395.70	Facility		$2,756.25	$9,602.19	$26,395.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,002.88 / $3,050.25 / $3,123.75	Professional		$2,002.88	$3,050.25	$3,123.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $18,411.75	Facility		$244.00	$614.00	$18,411.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $268.32 / $644.79	Professional		$208.00	$268.32	$644.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,657.03 / $10,363.50	Facility		$92.60	$2,657.03	$10,363.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,672.13 / $2,388.75 / $6,005.08	Professional		$1,672.13	$2,388.75	$6,005.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.94 / $4,251.97 / $9,292.24	Facility		$2,460.94	$4,251.97	$9,292.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,410.00 / $5,880.00	Professional		$3,675.00	$4,410.00	$5,880.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,307.50 / $4,226.25 / $7,019.25	Professional		$3,307.50	$4,226.25	$7,019.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,394.50 / $17,456.25 / $17,456.25	Facility		$6,394.50	$17,456.25	$17,456.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,375.00 / $18,375.00 / $27,562.50	Professional		$18,375.00	$18,375.00	$27,562.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,940.00 / $4,410.00 / $8,621.54	Facility		$2,940.00	$4,410.00	$8,621.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,042.50 / $5,512.50	Professional		$3,675.00	$4,042.50	$5,512.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,675.00 / $3,675.00	Professional		$3,675.00	$3,675.00	$3,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $7,301.49	Professional		$1,543.50	$1,543.50	$7,301.49