Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $1,881.24 / $5,171.39	Facility		$540.00	$1,881.24	$5,171.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $597.60 / $612.00	Professional		$392.40	$597.60	$612.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $1,390.82 / $3,584.88	Facility		$614.00	$1,390.82	$3,584.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.90 / $272.39 / $594.13	Professional		$228.90	$272.39	$594.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $950.40 / $6,458.40	Facility		$59.40	$950.40	$6,458.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $468.00 / $1,176.51	Professional		$327.60	$468.00	$1,176.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.41 / $1,207.44 / $2,410.19	Facility		$489.41	$1,207.44	$2,410.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $720.00 / $972.00	Professional		$576.00	$720.00	$972.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $828.00 / $1,569.60	Professional		$648.00	$828.00	$1,569.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,252.80 / $3,420.00 / $3,420.00	Facility		$1,252.80	$3,420.00	$3,420.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $5,400.00	Professional		$3,600.00	$3,600.00	$5,400.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $864.00 / $1,910.38	Facility		$576.00	$864.00	$1,910.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $792.00 / $1,080.00	Professional		$720.00	$792.00	$1,080.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $648.00 / $979.20	Professional		$576.00	$648.00	$979.20
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $1,425.60	Professional		$302.39	$302.39	$1,425.60