Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.90 / $9,665.00 / $21,960.90	Facility		$978.90	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.37 / $1,012.42 / $3,728.10	Professional		$880.37	$1,012.42	$3,728.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,393.00 / $22,145.00	Facility		$3,612.00	$11,393.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.07 / $1,856.83 / $3,437.64	Professional		$1,282.07	$1,856.83	$3,437.64
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 $754.96 / $1,162.02 / $2,508.71	Professional		$754.96	$1,162.02	$2,508.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.36 / $1,188.07 / $2,891.39	Professional		$967.36	$1,188.07	$2,891.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $699.92 / $882.66 / $1,318.07	Professional		$699.92	$882.66	$1,318.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.70 / $1,174.05 / $2,431.00	Professional		$904.70	$1,174.05	$2,431.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,249.12 / $17,613.12	Facility		$55.00	$14,249.12	$17,613.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,523.00 / $11,743.32 / $11,743.32	Professional		$8,523.00	$11,743.32	$11,743.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $963.18 / $1,287.23 / $1,827.27	Facility		$963.18	$1,287.23	$1,827.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $968.69 / $1,188.07 / $2,725.39	Professional		$968.69	$1,188.07	$2,725.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,070.03 / $3,070.03 / $3,070.03	Professional		$3,070.03	$3,070.03	$3,070.03
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 $8,867.00 / $20,553.00 / $50,904.00	Facility		$8,867.00	$20,553.00	$50,904.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.72 / $1,143.69 / $2,600.56	Professional		$811.72	$1,143.69	$2,600.56