Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.17 / $6,516.00 / $17,393.00	Facility		$1,435.17	$6,516.00	$17,393.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.50 / $4,478.06 / $5,996.00	Facility	50	$758.50	$4,478.06	$5,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $831.76 / $4,361.06	Professional		$155.49	$831.76	$4,361.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $7,691.66 / $7,691.66 / $7,691.66	Professional	50	$7,691.66	$7,691.66	$7,691.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,191.00 / $13,697.00	Facility		$2,456.00	$6,191.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.64 / $4,360.43 / $9,835.34	Professional		$195.64	$4,360.43	$9,835.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $228.48 / $2,851.41 / $3,185.75	Professional	50	$228.48	$2,851.41	$3,185.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,510.42	Facility		$66.00	$100.00	$5,510.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $646.65 / $4,087.83	Professional		$171.32	$646.65	$4,087.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,790.62 / $2,116.19 / $4,985.55	Facility		$1,790.62	$2,116.19	$4,985.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $2,015.53 / $5,900.52	Professional		$173.26	$2,015.53	$5,900.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $192.98 / $2,312.62	Professional		$145.94	$192.98	$2,312.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $1,473.50 / $3,057.00	Professional		$144.97	$1,473.50	$3,057.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,612.14 / $2,837.33 / $5,897.00	Facility		$2,612.14	$2,837.33	$5,897.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,966.34 / $18,756.31 / $19,319.00	Professional		$10,966.34	$18,756.31	$19,319.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.35 / $1,635.80 / $3,364.27	Facility		$168.35	$1,635.80	$3,364.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.59 / $2,015.53 / $5,643.06	Professional		$179.59	$2,015.53	$5,643.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $464.15 / $464.15 / $6,354.70	Professional		$464.15	$464.15	$6,354.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $189.72 / $2,338.28	Professional		$145.94	$189.72	$2,338.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $16,148.00	Facility		$3,523.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,540.49 / $2,664.74 / $7,417.07	Professional		$1,540.49	$2,664.74	$7,417.07