Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.94 / $850.50 / $5,138.12	Facility		$824.94	$850.50	$5,138.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.63 / $914.34 / $3,832.53	Professional		$776.63	$914.34	$3,832.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,896.00 / $8,616.00 / $17,973.06	Facility		$3,896.00	$8,616.00	$17,973.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.01 / $1,565.59 / $2,849.39	Professional		$1,142.01	$1,565.59	$2,849.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $976.01 / $1,394.30 / $3,193.55	Professional		$976.01	$1,394.30	$3,193.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.22 / $1,187.94 / $3,605.97	Professional		$932.22	$1,187.94	$3,605.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $544.72 / $954.28 / $1,145.14	Professional		$544.72	$954.28	$1,145.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $883.74 / $1,149.70 / $2,030.16	Professional		$883.74	$1,149.70	$2,030.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,000.24 / $8,586.16	Facility		$55.00	$7,000.24	$8,586.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,480.32 / $6,672.80 / $8,156.10	Professional		$6,480.32	$6,672.80	$8,156.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $922.80 / $1,199.64 / $1,730.86	Facility		$922.80	$1,199.64	$1,730.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $934.49 / $1,200.42 / $2,644.42	Professional		$934.49	$1,200.42	$2,644.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,972.30 / $2,972.30 / $2,972.30	Professional		$2,972.30	$2,972.30	$2,972.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $544.72 / $863.99 / $1,055.99	Professional		$544.72	$863.99	$1,055.99
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 $779.50 / $1,201.82 / $2,895.92	Professional		$779.50	$1,201.82	$2,895.92