Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.73 / $9,639.00 / $20,509.00	Facility		$893.73	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.21 / $893.73 / $4,842.35	Professional		$743.21	$893.73	$4,842.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $12,001.00 / $23,933.00	Facility		$3,585.00	$12,001.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,089.09 / $1,433.71 / $2,744.54	Professional		$1,089.09	$1,433.71	$2,744.54
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 $642.75 / $996.70 / $2,431.26	Professional		$642.75	$996.70	$2,431.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $922.19 / $1,208.86 / $3,422.85	Professional		$922.19	$1,208.86	$3,422.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $905.06 / $1,086.07 / $1,357.59	Professional		$905.06	$1,086.07	$1,357.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.03 / $1,194.84 / $2,102.94	Professional		$913.03	$1,194.84	$2,102.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,371.75 / $13,977.47	Facility		$55.00	$11,371.75	$13,977.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,653.20 / $6,742.24 / $8,068.13	Professional		$6,653.20	$6,742.24	$8,068.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $955.88 / $1,231.80 / $1,635.47	Facility		$955.88	$1,231.80	$1,635.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $922.19 / $1,208.86 / $2,632.39	Professional		$922.19	$1,208.86	$2,632.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,004.59 / $3,004.59 / $3,004.59	Professional		$3,004.59	$3,004.59	$3,004.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $905.06 / $1,141.34 / $1,712.03	Professional		$905.06	$1,141.34	$1,712.03
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 $742.44 / $1,063.91 / $3,083.37	Professional		$742.44	$1,063.91	$3,083.37