Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $9,639.00 / $20,509.00	Facility		$911.00	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.43 / $911.00 / $4,555.16	Professional		$815.43	$911.00	$4,555.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.17 / $1,599.17 / $3,026.14	Professional		$1,164.17	$1,599.17	$3,026.14
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 $673.22 / $1,033.85 / $2,263.73	Professional		$673.22	$1,033.85	$2,263.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.21 / $1,093.78 / $2,679.12	Professional		$889.21	$1,093.78	$2,679.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $535.37 / $675.14 / $1,135.33	Professional		$535.37	$675.14	$1,135.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.48 / $1,050.50 / $1,681.00	Professional		$838.48	$1,050.50	$1,681.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,084.80 / $16,209.76	Facility		$55.00	$13,084.80	$16,209.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,232.16 / $6,367.04 / $7,531.05	Professional		$6,232.16	$6,367.04	$7,531.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $892.72 / $1,166.66 / $1,605.21	Facility		$892.72	$1,166.66	$1,605.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $891.90 / $1,093.78 / $2,502.41	Professional		$891.90	$1,093.78	$2,502.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,826.39 / $2,826.39 / $2,826.39	Professional		$2,826.39	$2,826.39	$2,826.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $535.37 / $857.99 / $1,048.65	Professional		$535.37	$857.99	$1,048.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,940.00 / $6,426.00 / $18,709.00	Facility		$1,940.00	$6,426.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.30 / $1,069.60 / $2,499.87	Professional		$745.30	$1,069.60	$2,499.87