Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $20,509.00	Facility		$873.00	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.88 / $604.37 / $3,218.08	Professional		$535.88	$604.37	$3,218.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.81 / $1,005.60 / $1,828.41	Professional		$732.81	$1,005.60	$1,828.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,343.07	Facility		$66.00	$100.00	$11,343.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $424.20 / $659.99 / $1,604.57	Professional		$424.20	$659.99	$1,604.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.24 / $772.61 / $2,173.36	Professional		$567.24	$772.61	$2,173.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $697.45 / $734.72 / $906.69	Professional		$697.45	$734.72	$906.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.46 / $802.07 / $1,418.08	Professional		$623.46	$802.07	$1,418.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,292.92 / $10,899.50	Facility		$55.00	$2,292.92	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,463.84 / $4,604.80 / $5,233.35	Professional		$4,463.84	$4,604.80	$5,233.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.02 / $801.75 / $1,212.67	Facility		$633.02	$801.75	$1,212.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.57 / $798.19 / $1,728.32	Professional		$570.57	$798.19	$1,728.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,996.74 / $1,996.74 / $1,996.74	Professional		$1,996.74	$1,996.74	$1,996.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $628.70 / $773.97 / $1,249.02	Professional		$628.70	$773.97	$1,249.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,713.00 / $21,278.00	Facility		$4,110.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.46 / $716.23 / $2,063.17	Professional		$487.46	$716.23	$2,063.17