Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.61 / $9,639.00 / $20,509.00	Facility		$1,003.61	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.85 / $1,059.35 / $5,137.82	Professional		$899.85	$1,059.35	$5,137.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $20,418.00	Facility		$3,537.00	$9,830.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.32 / $1,745.59 / $3,312.49	Professional		$1,285.32	$1,745.59	$3,312.49
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 $678.87 / $1,045.24 / $2,329.00	Professional		$678.87	$1,045.24	$2,329.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.70 / $1,219.24 / $3,011.51	Professional		$971.70	$1,219.24	$3,011.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $699.92 / $882.66 / $1,323.99	Professional		$699.92	$882.66	$1,323.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $945.73 / $1,228.96 / $2,228.06	Professional		$945.73	$1,228.96	$2,228.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,840.32 / $18,367.04	Facility		$55.00	$14,840.32	$18,367.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,563.65 / $11,892.55 / $11,892.55	Professional		$8,563.65	$11,892.55	$11,892.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $990.30 / $1,326.86 / $1,717.53	Facility		$990.30	$1,326.86	$1,717.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $971.70 / $1,213.28 / $2,789.57	Professional		$971.70	$1,213.28	$2,789.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,187.91 / $3,187.91 / $3,187.91	Professional		$3,187.91	$3,187.91	$3,187.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $699.92 / $979.89 / $1,323.99	Professional		$699.92	$979.89	$1,323.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,159.00 / $20,279.00	Facility		$1,836.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $841.30 / $1,186.74 / $2,958.62	Professional		$841.30	$1,186.74	$2,958.62