Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.34 / $9,639.00 / $20,509.00	Facility		$745.34	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.30 / $753.47 / $4,052.13	Professional		$647.30	$753.47	$4,052.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $9,031.00 / $22,085.00	Facility		$3,222.00	$9,031.00	$22,085.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.84 / $1,083.19 / $2,150.35	Professional		$830.84	$1,083.19	$2,150.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $5,509.60	Facility		$64.40	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $578.74 / $830.11 / $1,890.78	Professional		$578.74	$830.11	$1,890.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,277.00 / $2,277.00 / $2,277.00	Facility		$2,277.00	$2,277.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.27 / $971.88 / $2,093.35	Professional		$758.27	$971.88	$2,093.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $638.33 / $1,127.41	Professional		$421.82	$638.33	$1,127.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.33 / $1,014.35 / $1,816.98	Professional		$732.33	$1,014.35	$1,816.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,251.35 / $6,374.76	Facility		$55.00	$6,251.35	$6,374.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,622.08 / $5,732.88 / $6,702.53	Professional		$5,622.08	$5,732.88	$6,702.53
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 $811.48 / $991.60 / $1,350.93	Facility		$811.48	$991.60	$1,350.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.79 / $1,035.10 / $2,046.07	Professional		$758.79	$1,035.10	$2,046.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,514.26 / $2,514.26 / $2,514.26	Professional		$2,514.26	$2,514.26	$2,514.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $759.27 / $1,000.84	Professional		$548.36	$759.27	$1,000.84
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,312.00	Facility		$7,212.00	$13,651.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.72 / $803.87 / $1,700.98	Professional		$603.72	$803.87	$1,700.98