Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.52 / $9,639.00 / $20,509.00	Facility		$873.52	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.40 / $873.52 / $4,670.89	Professional		$726.40	$873.52	$4,670.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $11,393.00 / $22,145.00	Facility		$3,537.00	$11,393.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.54 / $1,462.80 / $2,733.45	Professional		$1,095.54	$1,462.80	$2,733.45
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 $636.33 / $986.93 / $2,406.96	Professional		$636.33	$986.93	$2,406.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.08 / $1,167.60 / $3,355.93	Professional		$896.08	$1,167.60	$3,355.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,011.91 / $1,270.88	Professional		$843.26	$1,011.91	$1,270.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.08 / $1,154.13 / $2,031.26	Professional		$880.08	$1,154.13	$2,031.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,564.96 / $16,786.56	Facility		$55.00	$13,564.96	$16,786.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,891.71 / $6,891.71 / $7,829.33	Professional		$6,891.71	$6,891.71	$7,829.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $923.30 / $1,200.29 / $1,835.46	Facility		$923.30	$1,200.29	$1,835.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $896.08 / $1,180.10 / $2,549.54	Professional		$896.08	$1,180.10	$2,549.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,898.19 / $2,898.19 / $2,898.19	Professional		$2,898.19	$2,898.19	$2,898.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,083.34 / $1,595.13	Professional		$843.26	$1,083.34	$1,595.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.42 / $1,044.68 / $3,217.02	Professional		$728.42	$1,044.68	$3,217.02