Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,420.00 / $10,321.00 / $20,509.00	Facility		$4,420.00	$10,321.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,429.00 / $11,769.00 / $24,401.00	Professional		$4,429.00	$11,769.00	$24,401.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,645.00 / $6,017.00 / $19,951.00	Facility		$3,645.00	$6,017.00	$19,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39,259.00 / $39,259.00 / $39,259.00	Professional		$39,259.00	$39,259.00	$39,259.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $556.46 / $725.42 / $1,098.43	Professional		$556.46	$725.42	$1,098.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $40,000.00 / $40,000.00 / $40,000.00	Professional		$40,000.00	$40,000.00	$40,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $393.93 / $1,619.00	Professional		$120.00	$393.93	$1,619.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,829.71	Facility		$55.00	$55.00	$1,829.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,494.00 / $2,804.00 / $7,940.00	Facility		$1,494.00	$2,804.00	$7,940.00