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 $860.64 / $923.21 / $4,979.14	Professional		$860.64	$923.21	$4,979.14
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 $1,300.83 / $1,809.52 / $3,319.31	Professional		$1,300.83	$1,809.52	$3,319.31
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 $676.94 / $1,003.53 / $2,236.07	Professional		$676.94	$1,003.53	$2,236.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.43 / $1,209.28 / $3,182.17	Professional		$967.43	$1,209.28	$3,182.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $969.96 / $1,191.74	Professional		$794.49	$969.96	$1,191.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $872.96 / $1,132.66 / $2,068.13	Professional		$872.96	$1,132.66	$2,068.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,575.34 / $22,934.94	Facility		$55.00	$18,575.34	$22,934.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,703.28 / $6,871.52 / $8,127.53	Professional		$6,703.28	$6,871.52	$8,127.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $910.85 / $1,146.50 / $1,562.42	Facility		$910.85	$1,146.50	$1,562.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $967.43 / $1,201.71 / $2,772.12	Professional		$967.43	$1,201.71	$2,772.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,089.48 / $3,089.48 / $3,089.48	Professional		$3,089.48	$3,089.48	$3,089.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $1,032.83 / $1,350.63	Professional		$794.49	$1,032.83	$1,350.63
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 $825.63 / $1,224.21 / $2,718.42	Professional		$825.63	$1,224.21	$2,718.42