Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.46 / $5,324.00 / $16,713.00	Facility		$771.46	$5,324.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.62 / $711.22 / $1,872.79	Professional		$535.62	$711.22	$1,872.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,931.00 / $11,456.00	Facility		$2,143.00	$5,931.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $532.84 / $729.81 / $1,588.22	Professional		$532.84	$729.81	$1,588.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $466.55 / $666.50 / $1,528.58	Professional		$466.55	$666.50	$1,528.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.39 / $824.74 / $1,653.76	Professional		$587.39	$824.74	$1,653.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $294.86 / $832.60 / $1,131.53	Professional		$294.86	$832.60	$1,131.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.35 / $872.07 / $1,466.97	Professional		$621.35	$872.07	$1,466.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,200.78 / $5,564.75 / $16,394.00	Facility		$4,200.78	$5,564.75	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,435.20 / $5,573.28 / $6,506.70	Professional		$4,435.20	$5,573.28	$6,506.70
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 $590.99 / $803.09 / $1,160.48	Facility		$590.99	$803.09	$1,160.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $596.86 / $867.92 / $1,694.27	Professional		$596.86	$867.92	$1,694.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,999.11 / $1,999.11 / $2,540.08	Professional		$1,999.11	$1,999.11	$2,540.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $632.13 / $1,047.63	Professional		$383.32	$632.13	$1,047.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,254.00 / $4,060.00 / $9,476.00	Facility		$2,254.00	$4,060.00	$9,476.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.32 / $769.30 / $1,742.68	Professional		$585.32	$769.30	$1,742.68