Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.54 / $9,639.00 / $20,509.00	Facility		$1,040.54	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.65 / $1,034.88 / $4,867.05	Professional		$937.65	$1,034.88	$4,867.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,727.00 / $17,774.00	Facility		$3,204.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.43 / $1,810.13 / $3,299.12	Professional		$1,049.43	$1,810.13	$3,299.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $803.31 / $1,234.65 / $2,652.97	Professional		$803.31	$1,234.65	$2,652.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.91 / $1,266.92 / $3,081.62	Professional		$997.91	$1,266.92	$3,081.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $955.26 / $1,050.79 / $1,241.83	Professional		$955.26	$1,050.79	$1,241.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.73 / $1,110.20 / $2,041.75	Professional		$859.73	$1,110.20	$2,041.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,163.43 / $7,984.00	Facility		$55.00	$6,163.43	$7,984.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,411.80 / $7,411.80 / $8,117.10	Professional		$7,411.80	$7,411.80	$8,117.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $940.07 / $1,271.46 / $1,938.00	Facility		$940.07	$1,271.46	$1,938.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $997.91 / $1,266.92 / $2,922.82	Professional		$997.91	$1,266.92	$2,922.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,019.91 / $3,019.91 / $3,019.91	Professional		$3,019.91	$3,019.91	$3,019.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $769.10 / $899.72 / $1,057.52	Professional		$769.10	$899.72	$1,057.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,810.00 / $22,073.00	Facility		$5,200.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.72 / $1,162.79 / $2,536.25	Professional		$811.72	$1,162.79	$2,536.25