Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $9,386.00 / $21,357.00	Facility		$2,387.00	$9,386.00	$21,357.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.72 / $963.40 / $3,783.62	Professional		$806.72	$963.40	$3,783.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $8,441.00 / $18,150.00	Facility		$1,500.00	$8,441.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $896.33 / $1,174.79 / $2,370.48	Professional		$896.33	$1,174.79	$2,370.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $67.90 / $100.00 / $10,676.53	Facility		$67.90	$100.00	$10,676.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $656.06 / $947.78 / $2,230.73	Professional		$656.06	$947.78	$2,230.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $766.00 / $6,772.00	Facility		$633.00	$766.00	$6,772.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.10 / $1,165.30 / $2,594.27	Professional		$820.10	$1,165.30	$2,594.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $661.58 / $1,046.52 / $1,360.48	Professional		$661.58	$1,046.52	$1,360.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.37 / $1,153.01 / $2,119.36	Professional		$885.37	$1,153.01	$2,119.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,314.03 / $8,223.00	Facility		$55.00	$7,314.03	$8,223.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,251.24 / $7,251.24 / $8,316.60	Professional		$7,251.24	$7,251.24	$8,316.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $920.75 / $1,156.26 / $1,623.17	Facility		$920.75	$1,156.26	$1,623.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $838.37 / $1,222.35 / $2,558.90	Professional		$838.37	$1,222.35	$2,558.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,071.92 / $3,071.92 / $3,071.92	Professional		$3,071.92	$3,071.92	$3,071.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,599.00 / $9,655.00 / $22,073.00	Facility		$2,599.00	$9,655.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.99 / $1,033.41 / $2,318.34	Professional		$755.99	$1,033.41	$2,318.34