Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.67 / $5,382.00 / $16,713.00	Facility		$623.67	$5,382.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.79 / $623.67 / $3,860.40	Professional		$522.79	$623.67	$3,860.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,944.00 / $13,697.00	Facility		$2,160.00	$5,944.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.91 / $748.51 / $1,505.12	Professional		$548.91	$748.51	$1,505.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,255.89	Facility		$66.00	$100.00	$7,255.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $455.45 / $650.64 / $1,561.95	Professional		$455.45	$650.64	$1,561.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.98 / $832.68 / $1,765.34	Professional		$635.98	$832.68	$1,765.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $551.38 / $935.17 / $1,142.90	Professional		$551.38	$935.17	$1,142.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.60 / $966.30 / $1,700.69	Professional		$718.60	$966.30	$1,700.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,006.88 / $5,097.00 / $16,394.00	Facility		$5,006.88	$5,097.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,264.88 / $5,854.96 / $6,772.43	Professional		$5,264.88	$5,854.96	$6,772.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $631.07 / $914.18 / $1,242.10	Facility		$631.07	$914.18	$1,242.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.48 / $872.78 / $1,881.07	Professional		$653.48	$872.78	$1,881.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,395.30 / $2,395.30 / $2,621.31	Professional		$2,395.30	$2,395.30	$2,621.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $683.38 / $849.42 / $1,042.99	Professional		$683.38	$849.42	$1,042.99
United Facility/Professional Facility Modifier Low / Median / High Price $5,670.00 / $9,908.00 / $21,278.00	Facility		$5,670.00	$9,908.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.36 / $802.26 / $1,915.62	Professional		$577.36	$802.26	$1,915.62