Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.77 / $6,423.00 / $17,538.00	Facility		$691.77	$6,423.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.18 / $691.77 / $3,410.00	Professional		$441.18	$691.77	$3,410.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.30 / $707.11 / $1,605.33	Professional		$494.30	$707.11	$1,605.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.15 / $600.50 / $1,509.60	Professional		$398.15	$600.50	$1,509.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.50 / $745.43 / $1,591.01	Professional		$473.50	$745.43	$1,591.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $613.26 / $1,036.24	Professional		$372.30	$613.26	$1,036.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.43 / $718.28 / $1,287.39	Professional		$482.43	$718.28	$1,287.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,250.44 / $3,329.76 / $26,542.00	Facility		$3,250.44	$3,329.76	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,458.00 / $4,678.39 / $5,467.50	Professional		$4,458.00	$4,678.39	$5,467.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.35 / $731.71 / $1,155.81	Facility		$541.35	$731.71	$1,155.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.70 / $764.67 / $1,591.01	Professional		$477.70	$764.67	$1,591.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,497.23 / $1,497.23 / $2,040.60	Professional		$1,497.23	$1,497.23	$2,040.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.20 / $752.59 / $2,147.37	Professional		$494.20	$752.59	$2,147.37