Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $10,051.00 / $20,509.00	Facility		$1,038.00	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.84 / $699.21 / $3,771.80	Professional		$651.84	$699.21	$3,771.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,260.00 / $17,774.00	Facility		$3,294.00	$9,260.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.23 / $1,371.04 / $2,513.98	Professional		$985.23	$1,371.04	$2,513.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $22,046.94	Facility		$63.50	$100.00	$22,046.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.65 / $759.97 / $1,693.37	Professional		$512.65	$759.97	$1,693.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.48 / $926.03 / $2,410.17	Professional		$734.48	$926.03	$2,410.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $601.64 / $735.09 / $902.46	Professional		$601.64	$735.09	$902.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.58 / $858.34 / $1,567.17	Professional		$661.58	$858.34	$1,567.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,072.52 / $17,373.72	Facility		$55.00	$14,072.52	$17,373.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,079.04 / $5,204.96 / $6,156.98	Professional		$5,079.04	$5,204.96	$6,156.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $690.20 / $868.80 / $1,184.09	Facility		$690.20	$868.80	$1,184.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $753.04 / $926.57 / $2,217.32	Professional		$753.04	$926.57	$2,217.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,340.33 / $2,340.33 / $2,340.33	Professional		$2,340.33	$2,340.33	$2,340.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $601.64 / $782.13 / $1,022.78	Professional		$601.64	$782.13	$1,022.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $625.53 / $939.36 / $2,103.09	Professional		$625.53	$939.36	$2,103.09