Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.82 / $4,848.00 / $16,109.00	Facility		$992.82	$4,848.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.49 / $878.13 / $1,998.40	Professional		$541.49	$878.13	$1,998.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.50 / $1,207.15 / $2,174.21	Professional		$677.50	$1,207.15	$2,174.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $712.99 / $1,015.64 / $2,070.07	Professional		$712.99	$1,015.64	$2,070.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $542.50 / $555.00	Facility		$372.64	$542.50	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.86 / $856.65 / $1,434.40	Professional		$501.86	$856.65	$1,434.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.47 / $655.02 / $860.27	Professional		$595.47	$655.02	$860.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.96 / $637.24 / $1,214.50	Professional		$478.96	$637.24	$1,214.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,956.96 / $4,075.54	Facility		$55.00	$3,956.96	$4,075.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,914.76 / $4,736.35 / $5,641.13	Professional		$3,914.76	$4,736.35	$5,641.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $830.67 / $1,374.65	Facility		$581.41	$830.67	$1,374.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.42 / $920.21 / $1,445.84	Professional		$528.42	$920.21	$1,445.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,638.86 / $1,638.86 / $1,755.47	Professional		$1,638.86	$1,638.86	$1,755.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $521.19 / $708.27 / $1,193.70	Professional		$521.19	$708.27	$1,193.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,679.00 / $7,399.00	Facility		$1,031.00	$2,679.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.67 / $663.96 / $1,502.22	Professional		$435.67	$663.96	$1,502.22