Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.07 / $9,639.00 / $20,509.00	Facility		$860.07	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.21 / $860.07 / $4,607.39	Professional		$715.21	$860.07	$4,607.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,393.00 / $22,145.00	Facility		$3,585.00	$11,393.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,066.88 / $1,398.34 / $2,688.54	Professional		$1,066.88	$1,398.34	$2,688.54
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 $628.07 / $976.32 / $2,375.71	Professional		$628.07	$976.32	$2,375.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.95 / $1,159.32 / $3,318.51	Professional		$898.95	$1,159.32	$3,318.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $860.76 / $1,032.91 / $1,291.14	Professional		$860.76	$1,032.91	$1,291.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.09 / $1,132.88 / $1,993.86	Professional		$864.09	$1,132.88	$1,993.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,811.71 / $13,393.90	Facility		$55.00	$10,811.71	$13,393.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.36 / $6,460.08 / $7,679.63	Professional		$6,309.36	$6,460.08	$7,679.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.00 / $1,105.33 / $1,627.56	Facility		$858.00	$1,105.33	$1,627.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $898.95 / $1,159.32 / $2,501.77	Professional		$898.95	$1,159.32	$2,501.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,858.79 / $2,858.79 / $2,858.79	Professional		$2,858.79	$2,858.79	$2,858.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $860.76 / $1,085.48 / $1,628.23	Professional		$860.76	$1,085.48	$1,628.23
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 $727.44 / $1,039.20 / $2,959.34	Professional		$727.44	$1,039.20	$2,959.34