Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.25 / $9,639.00 / $20,509.00	Facility		$536.25	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.29 / $536.25 / $2,609.02	Professional		$503.29	$536.25	$2,609.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $9,248.00 / $18,049.00	Facility		$4,204.00	$9,248.00	$18,049.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.35 / $1,106.80 / $1,934.26	Professional		$800.35	$1,106.80	$1,934.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $445.73 / $636.55 / $1,316.50	Professional		$445.73	$636.55	$1,316.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.11 / $652.42 / $1,737.01	Professional		$526.11	$652.42	$1,737.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $510.34 / $612.41	Professional		$377.51	$510.34	$612.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.31 / $587.23 / $1,256.79	Professional		$459.31	$587.23	$1,256.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,418.72 / $9,163.20	Facility		$55.00	$7,418.72	$9,163.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,516.88 / $3,603.36 / $4,259.70	Professional		$3,516.88	$3,603.36	$4,259.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.36 / $604.76 / $822.13	Facility		$489.36	$604.76	$822.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.35 / $652.42 / $1,510.85	Professional		$524.35	$652.42	$1,510.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,618.84 / $1,618.84 / $1,618.84	Professional		$1,618.84	$1,618.84	$1,618.84
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 $430.19 / $650.61 / $1,424.61	Professional		$430.19	$650.61	$1,424.61