Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.33 / $6,218.00 / $17,013.00	Facility		$543.33	$6,218.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.93 / $497.43 / $1,997.16	Professional		$373.93	$497.43	$1,997.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,945.00 / $13,707.00	Facility		$2,143.00	$6,945.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.24 / $653.01 / $1,316.77	Professional		$435.24	$653.01	$1,316.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,680.36	Facility		$66.00	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $372.63 / $532.33 / $1,130.38	Professional		$372.63	$532.33	$1,130.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $1,458.73 / $1,988.34	Facility		$571.29	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.75 / $629.86 / $1,273.64	Professional		$438.75	$629.86	$1,273.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $564.67 / $699.63 / $944.50	Professional		$564.67	$699.63	$944.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $454.40 / $638.19 / $1,182.00	Professional		$454.40	$638.19	$1,182.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,218.40 / $3,301.32 / $26,542.00	Facility		$3,218.40	$3,301.32	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,417.12 / $4,495.07 / $4,717.88	Professional		$3,417.12	$4,495.07	$4,717.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.27 / $677.62 / $952.68	Facility		$510.27	$677.62	$952.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $447.86 / $669.87 / $1,353.84	Professional		$447.86	$669.87	$1,353.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,547.35 / $1,547.35 / $1,879.15	Professional		$1,547.35	$1,547.35	$1,879.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $513.46 / $722.56 / $1,083.83	Professional		$513.46	$722.56	$1,083.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.78 / $563.50 / $1,416.80	Professional		$435.78	$563.50	$1,416.80