Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.25 / $9,639.00 / $20,509.00	Facility		$975.25	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.06 / $975.25 / $5,039.01	Professional		$882.06	$975.25	$5,039.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,001.00 / $23,933.00	Facility		$3,738.00	$12,001.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.76 / $1,766.28 / $3,343.66	Professional		$1,282.76	$1,766.28	$3,343.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $747.24 / $1,150.31 / $2,518.71	Professional		$747.24	$1,150.31	$2,518.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.23 / $1,216.97 / $3,127.29	Professional		$970.23	$1,216.97	$3,127.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $916.97 / $1,025.34 / $1,375.46	Professional		$916.97	$1,025.34	$1,375.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.93 / $1,189.97 / $2,490.73	Professional		$917.93	$1,189.97	$2,490.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,497.28 / $17,912.48	Facility		$55.00	$14,497.28	$17,912.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,886.00 / $9,886.00 / $9,886.00	Professional		$9,886.00	$9,886.00	$9,886.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $976.76 / $1,285.98 / $1,913.43	Facility		$976.76	$1,285.98	$1,913.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $970.23 / $1,209.97 / $2,777.92	Professional		$970.23	$1,209.97	$2,777.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,126.61 / $3,126.61 / $3,126.61	Professional		$3,126.61	$3,126.61	$3,126.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $916.97 / $1,156.38 / $1,734.57	Professional		$916.97	$1,156.38	$1,734.57
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 $827.96 / $1,179.15 / $2,900.51	Professional		$827.96	$1,179.15	$2,900.51