Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.09 / $9,639.00 / $20,509.00	Facility		$868.09	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.75 / $831.47 / $4,110.49	Professional		$736.75	$831.47	$4,110.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,727.00 / $17,774.00	Facility		$2,822.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.58 / $1,163.63 / $2,282.92	Professional		$884.58	$1,163.63	$2,282.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,609.24	Facility		$66.00	$100.00	$5,609.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $559.22 / $865.18 / $2,115.30	Professional		$559.22	$865.18	$2,115.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.76 / $1,013.73 / $3,097.42	Professional		$771.76	$1,013.73	$3,097.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $639.98 / $874.28 / $1,210.60	Professional		$639.98	$874.28	$1,210.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.56 / $1,005.42 / $1,781.54	Professional		$782.56	$1,005.42	$1,781.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,032.09 / $9,388.90	Facility		$55.00	$5,032.09	$9,388.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,677.00 / $9,677.00 / $9,677.00	Professional		$9,677.00	$9,677.00	$9,677.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.47 / $1,055.89 / $1,453.50	Facility		$831.47	$1,055.89	$1,453.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $780.61 / $1,018.06 / $2,217.04	Professional		$780.61	$1,018.06	$2,217.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,550.48 / $2,550.48 / $2,550.48	Professional		$2,550.48	$2,550.48	$2,550.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $639.98 / $959.98 / $1,210.60	Professional		$639.98	$959.98	$1,210.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,352.00 / $15,471.00	Facility		$3,190.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.77 / $971.11 / $2,499.03	Professional		$650.77	$971.11	$2,499.03