Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.25 / $9,639.00 / $20,509.00	Facility		$764.25	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.54 / $764.25 / $4,092.22	Professional		$635.54	$764.25	$4,092.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.51 / $1,261.51 / $2,385.21	Professional		$946.51	$1,261.51	$2,385.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $865.17 / $2,098.51	Professional		$554.79	$865.17	$2,098.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.35 / $1,033.44 / $2,933.27	Professional		$795.35	$1,033.44	$2,933.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $431.50 / $652.98 / $1,034.57	Professional		$431.50	$652.98	$1,034.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.93 / $1,014.13 / $1,784.86	Professional		$775.93	$1,014.13	$1,784.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,642.23 / $11,946.35	Facility		$55.00	$9,642.23	$11,946.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,383.18 / $6,383.18 / $6,849.98	Professional		$6,383.18	$6,383.18	$6,849.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $811.30 / $1,046.81 / $1,470.00	Facility		$811.30	$1,046.81	$1,470.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $795.35 / $1,036.83 / $2,233.00	Professional		$795.35	$1,036.83	$2,233.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,539.14 / $2,539.14 / $2,539.14	Professional		$2,539.14	$2,539.14	$2,539.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $431.50 / $733.54 / $955.53	Professional		$431.50	$733.54	$955.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.55 / $904.13 / $2,472.96	Professional		$644.55	$904.13	$2,472.96