Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.50 / $525.78 / $2,941.64	Professional		$458.50	$525.78	$2,941.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,178.00 / $11,736.24	Facility		$2,143.00	$5,178.00	$11,736.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.51 / $835.57 / $1,611.94	Professional		$631.51	$835.57	$1,611.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $8,011.98	Facility		$64.20	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $396.68 / $615.99 / $1,500.48	Professional		$396.68	$615.99	$1,500.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.21 / $697.28 / $2,022.25	Professional		$517.21	$697.28	$2,022.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $650.76 / $729.71 / $875.65	Professional		$650.76	$729.71	$875.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.29 / $748.66 / $1,334.45	Professional		$585.29	$748.66	$1,334.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,751.15 / $3,432.65	Facility		$55.00	$2,751.15	$3,432.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,132.56 / $4,273.84 / $5,128.28	Professional		$4,132.56	$4,273.84	$5,128.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.92 / $739.40 / $1,140.67	Facility		$592.92	$739.40	$1,140.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.79 / $732.84 / $1,583.16	Professional		$520.79	$732.84	$1,583.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,825.24 / $1,825.24 / $1,825.24	Professional		$1,825.24	$1,825.24	$1,825.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $721.18 / $1,240.50	Professional		$587.63	$721.18	$1,240.50
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 $459.02 / $664.26 / $2,215.02	Professional		$459.02	$664.26	$2,215.02