Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.45 / $9,639.00 / $20,509.00	Facility		$991.45	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.68 / $981.27 / $4,617.31	Professional		$888.68	$981.27	$4,617.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $7,309.00 / $15,328.00	Facility		$3,242.00	$7,309.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.82 / $1,715.85 / $3,105.39	Professional		$1,084.82	$1,715.85	$3,105.39
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 $598.28 / $920.19 / $2,050.37	Professional		$598.28	$920.19	$2,050.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.25 / $1,153.08 / $2,919.87	Professional		$925.25	$1,153.08	$2,919.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $744.63 / $1,116.95	Professional		$590.47	$744.63	$1,116.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.59 / $1,052.52 / $1,935.27	Professional		$814.59	$1,052.52	$1,935.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,184.12 / $11,295.02	Facility		$55.00	$9,184.12	$11,295.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,283.76 / $6,442.24 / $7,696.95	Professional		$6,283.76	$6,442.24	$7,696.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $888.68 / $1,204.27 / $1,534.50	Facility		$888.68	$1,204.27	$1,534.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $919.98 / $1,153.08 / $2,586.15	Professional		$919.98	$1,153.08	$2,586.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,864.94 / $2,864.94 / $2,864.94	Professional		$2,864.94	$2,864.94	$2,864.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $852.78 / $1,116.94	Professional		$590.47	$852.78	$1,116.94
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 $770.24 / $1,103.81 / $2,415.89	Professional		$770.24	$1,103.81	$2,415.89