Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.76 / $9,639.00 / $20,509.00	Facility		$823.76	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.79 / $823.76 / $4,353.52	Professional		$731.79	$823.76	$4,353.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,250.00 / $20,786.00	Facility		$4,446.00	$10,250.00	$20,786.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.05 / $1,301.57 / $2,502.48	Professional		$993.05	$1,301.57	$2,502.48
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 $595.15 / $921.90 / $2,251.19	Professional		$595.15	$921.90	$2,251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.03 / $1,045.19 / $2,968.80	Professional		$784.03	$1,045.19	$2,968.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $666.82 / $925.85 / $1,111.02	Professional		$666.82	$925.85	$1,111.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $833.27 / $1,065.08 / $1,893.83	Professional		$833.27	$1,065.08	$1,893.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,396.79 / $6,835.57	Facility		$55.00	$5,396.79	$6,835.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,001.52 / $6,188.48 / $7,029.45	Professional		$6,001.52	$6,188.48	$7,029.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $844.60 / $1,083.42 / $1,523.97	Facility		$844.60	$1,083.42	$1,523.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.03 / $1,065.52 / $2,344.67	Professional		$784.03	$1,065.52	$2,344.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,701.29 / $2,701.29 / $2,701.29	Professional		$2,701.29	$2,701.29	$2,701.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $666.82 / $933.54 / $1,133.58	Professional		$666.82	$933.54	$1,133.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.16 / $939.12 / $2,941.01	Professional		$650.16	$939.12	$2,941.01