Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.25 / $9,639.00 / $20,509.00	Facility		$938.25	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.82 / $963.01 / $5,138.06	Professional		$800.82	$963.01	$5,138.06
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 $1,197.67 / $1,569.76 / $3,018.13	Professional		$1,197.67	$1,569.76	$3,018.13
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 $676.03 / $1,050.34 / $2,557.11	Professional		$676.03	$1,050.34	$2,557.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.65 / $1,281.10 / $3,715.92	Professional		$972.65	$1,281.10	$3,715.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $893.56 / $1,276.57	Professional		$590.47	$893.56	$1,276.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.22 / $1,258.39 / $2,214.76	Professional		$960.22	$1,258.39	$2,214.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,824.96 / $18,349.28	Facility		$55.00	$14,824.96	$18,349.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,024.24 / $7,192.00 / $8,554.65	Professional		$7,024.24	$7,192.00	$8,554.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,006.71 / $1,308.72 / $1,735.92	Facility		$1,006.71	$1,308.72	$1,735.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $966.76 / $1,281.10 / $2,789.10	Professional		$966.76	$1,281.10	$2,789.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,188.06 / $3,188.06 / $3,188.06	Professional		$3,188.06	$3,188.06	$3,188.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $968.02 / $1,178.80	Professional		$590.47	$968.02	$1,178.80
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 $812.28 / $1,172.49 / $3,543.12	Professional		$812.28	$1,172.49	$3,543.12