Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.23 / $9,639.00 / $20,509.00	Facility		$1,177.23	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.79 / $1,157.05 / $5,442.54	Professional		$1,048.79	$1,157.05	$5,442.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $6,706.00 / $13,707.00	Facility		$2,629.00	$6,706.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.62 / $1,830.24 / $3,597.03	Professional		$998.62	$1,830.24	$3,597.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $15,838.91	Facility		$65.80	$100.00	$15,838.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $466.64 / $716.03 / $1,723.70	Professional		$466.64	$716.03	$1,723.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.25 / $1,285.72 / $3,249.58	Professional		$998.25	$1,285.72	$3,249.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $618.02 / $779.37 / $1,280.24	Professional		$618.02	$779.37	$1,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.18 / $1,240.94 / $2,281.55	Professional		$960.18	$1,240.94	$2,281.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,829.28 / $13,327.38	Facility		$55.00	$10,829.28	$13,327.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,409.60 / $7,600.96 / $9,075.15	Professional		$7,409.60	$7,600.96	$9,075.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.33 / $1,244.48 / $1,717.87	Facility		$938.33	$1,244.48	$1,717.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $978.38 / $1,282.59 / $2,957.97	Professional		$978.38	$1,282.59	$2,957.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,376.99 / $3,376.99 / $3,376.99	Professional		$3,376.99	$3,376.99	$3,376.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $618.02 / $966.30 / $1,181.04	Professional		$618.02	$966.30	$1,181.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,940.00	Facility		$1,407.00	$2,753.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.17 / $1,283.71 / $2,847.51	Professional		$886.17	$1,283.71	$2,847.51