Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.11 / $9,639.00 / $20,509.00	Facility		$519.11	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.79 / $519.11 / $2,612.36	Professional		$472.79	$519.11	$2,612.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,727.00 / $17,774.00	Facility		$3,204.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.70 / $955.67 / $1,728.74	Professional		$699.70	$955.67	$1,728.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.31 / $610.13 / $1,313.55	Professional		$398.31	$610.13	$1,313.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.32 / $628.33 / $1,611.47	Professional		$507.32	$628.33	$1,611.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $459.79 / $497.93 / $672.21	Professional		$459.79	$497.93	$672.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.14 / $574.58 / $1,059.83	Professional		$448.14	$574.58	$1,059.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,267.52 / $8,959.84	Facility		$55.00	$7,267.52	$8,959.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,668.00 / $5,668.00 / $5,668.00	Professional		$5,668.00	$5,668.00	$5,668.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.10 / $676.52 / $944.96	Facility		$488.10	$676.52	$944.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.32 / $627.25 / $1,447.89	Professional		$507.32	$627.25	$1,447.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,620.93 / $1,620.93 / $1,620.93	Professional		$1,620.93	$1,620.93	$1,620.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $459.79 / $579.83 / $869.75	Professional		$459.79	$579.83	$869.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.32 / $609.66 / $1,326.56	Professional		$429.32	$609.66	$1,326.56