Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $22,330.11	Facility		$873.00	$9,674.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.32 / $855.80 / $4,454.35	Professional		$734.32	$855.80	$4,454.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,189.00 / $22,008.00	Facility		$4,108.00	$10,189.00	$22,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,057.18 / $1,422.72 / $2,655.45	Professional		$1,057.18	$1,422.72	$2,655.45
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 $645.32 / $1,001.36 / $2,431.39	Professional		$645.32	$1,001.36	$2,431.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $859.81 / $1,117.75 / $3,260.38	Professional		$859.81	$1,117.75	$3,260.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $911.30 / $1,148.77	Professional		$759.12	$911.30	$1,148.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.29 / $1,066.50 / $1,905.46	Professional		$827.29	$1,066.50	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,415.34 / $12,881.83	Facility		$55.00	$10,415.34	$12,881.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,002.00 / $11,002.00 / $11,002.00	Professional		$11,002.00	$11,002.00	$11,002.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.12 / $1,140.95 / $1,763.58	Facility		$866.12	$1,140.95	$1,763.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $859.81 / $1,117.75 / $2,453.61	Professional		$859.81	$1,117.75	$2,453.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,763.85 / $2,763.85 / $2,763.85	Professional		$2,763.85	$2,763.85	$2,763.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,009.66 / $1,435.97	Professional		$759.12	$1,009.66	$1,435.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.08 / $1,035.33 / $2,844.90	Professional		$717.08	$1,035.33	$2,844.90