Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.60 / $9,639.00 / $20,509.00	Facility		$803.60	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.78 / $803.60 / $3,838.58	Professional		$679.78	$803.60	$3,838.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,450.00 / $21,131.00	Facility		$4,446.00	$10,450.00	$21,131.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.06 / $1,095.73 / $2,070.52	Professional		$802.06	$1,095.73	$2,070.52
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 $482.53 / $745.40 / $1,825.21	Professional		$482.53	$745.40	$1,825.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.09 / $939.45 / $2,732.18	Professional		$695.09	$939.45	$2,732.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $618.02 / $796.66 / $955.99	Professional		$618.02	$796.66	$955.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.64 / $916.16 / $1,618.32	Professional		$709.64	$916.16	$1,618.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,204.47 / $6,598.08	Facility		$55.00	$5,204.47	$6,598.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,940.68 / $5,940.68 / $5,940.68	Professional		$5,940.68	$5,940.68	$5,940.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $753.16 / $959.08 / $1,453.50	Facility		$753.16	$959.08	$1,453.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $709.64 / $939.45 / $2,068.14	Professional		$709.64	$939.45	$2,068.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,381.78 / $2,381.78 / $2,381.78	Professional		$2,381.78	$2,381.78	$2,381.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $618.02 / $884.52 / $1,169.06	Professional		$618.02	$884.52	$1,169.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $5,067.00 / $20,279.00	Facility		$1,800.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.72 / $867.79 / $2,152.36	Professional		$594.72	$867.79	$2,152.36