Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.90 / $7,305.00 / $18,630.00	Facility		$704.90	$7,305.00	$18,630.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,313.00 / $7,950.00 / $19,197.00	Facility	50	$5,313.00	$7,950.00	$19,197.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.84 / $560.84 / $1,503.52	Professional		$475.84	$560.84	$1,503.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $692.73 / $889.83 / $3,363.33	Professional	50	$692.73	$889.83	$3,363.33
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 $533.74 / $690.14 / $1,437.56	Professional		$533.74	$690.14	$1,437.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $733.33 / $895.98 / $1,551.34	Professional	50	$733.33	$895.98	$1,551.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $10,710.09	Facility		$66.09	$100.00	$10,710.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $585.57 / $1,394.76	Professional		$409.90	$585.57	$1,394.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.26 / $709.41 / $1,463.68	Professional		$546.26	$709.41	$1,463.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $761.46 / $913.75	Professional		$337.30	$761.46	$913.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.90 / $749.12 / $1,328.92	Professional		$554.90	$749.12	$1,328.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,773.22 / $5,564.75 / $26,542.00	Facility		$3,773.22	$5,564.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,001.52 / $4,566.14 / $5,163.00	Professional		$4,001.52	$4,566.14	$5,163.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $70.95	Professional		$32.34	$32.34	$70.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.39 / $748.45 / $1,029.31	Facility		$532.39	$748.45	$1,029.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $547.88 / $738.78 / $1,465.04	Professional		$547.88	$738.78	$1,465.04
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,127.00 / $3,127.00 / $3,127.00	Facility		$3,127.00	$3,127.00	$3,127.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,802.31 / $1,802.31 / $2,030.72	Professional		$1,802.31	$1,802.31	$2,030.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.49 / $607.15 / $846.34	Professional		$438.49	$607.15	$846.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,348.00 / $4,243.00 / $9,131.00	Facility		$2,348.00	$4,243.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.88 / $625.25 / $1,389.17	Professional		$470.88	$625.25	$1,389.17