Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $9,639.00 / $21,960.90	Facility		$927.00	$9,639.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.04 / $941.63 / $5,064.31	Professional		$783.04	$941.63	$5,064.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,014.00 / $25,103.02	Facility		$4,734.00	$12,014.00	$25,103.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.16 / $1,573.86 / $2,952.06	Professional		$1,183.16	$1,573.86	$2,952.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $659.33 / $1,022.97 / $2,493.96	Professional		$659.33	$1,022.97	$2,493.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.82 / $1,262.99 / $3,599.84	Professional		$951.82	$1,262.99	$3,599.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,049.56 / $1,259.47	Professional		$674.61	$1,049.56	$1,259.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.11 / $1,241.33 / $2,184.75	Professional		$947.11	$1,241.33	$2,184.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,622.56 / $18,085.75	Facility		$55.00	$14,622.56	$18,085.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,254.95 / $7,254.95 / $8,439.60	Professional		$7,254.95	$7,254.95	$8,439.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.07 / $1,290.27 / $1,688.30	Facility		$993.07	$1,290.27	$1,688.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $941.46 / $1,262.99 / $2,748.02	Professional		$941.46	$1,262.99	$2,748.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,142.31 / $3,142.31 / $3,142.31	Professional		$3,142.31	$3,142.31	$3,142.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $963.83 / $1,163.01	Professional		$674.61	$963.83	$1,163.01
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 $783.19 / $1,147.07 / $2,837.21	Professional		$783.19	$1,147.07	$2,837.21