Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.74 / $9,639.00 / $20,509.00	Facility		$473.74	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.79 / $473.74 / $2,238.31	Professional		$432.79	$473.74	$2,238.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,512.00 / $6,374.00 / $13,707.00	Facility		$2,512.00	$6,374.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.62 / $873.72 / $1,559.75	Professional		$666.62	$873.72	$1,559.75
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 $314.17 / $481.03 / $1,075.46	Professional		$314.17	$481.03	$1,075.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.34 / $541.86 / $1,338.39	Professional		$443.34	$541.86	$1,338.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $404.69 / $426.29 / $554.17	Professional		$404.69	$426.29	$554.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.66 / $505.80 / $923.60	Professional		$383.66	$505.80	$923.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,041.79 / $1,994.15	Facility		$55.00	$1,041.79	$1,994.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,680.88 / $4,680.88 / $4,680.88	Professional		$4,680.88	$4,680.88	$4,680.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $419.82 / $535.16 / $749.84	Facility		$419.82	$535.16	$749.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $443.34 / $539.03 / $1,261.92	Professional		$443.34	$539.03	$1,261.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,388.83 / $1,388.83 / $1,388.83	Professional		$1,388.83	$1,388.83	$1,388.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $385.92 / $471.68 / $687.97	Professional		$385.92	$471.68	$687.97
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 $375.84 / $531.36 / $1,219.58	Professional		$375.84	$531.36	$1,219.58