Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.29 / $9,639.00 / $20,509.00	Facility		$922.29	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $922.29 / $5,270.88	Professional		$836.74	$922.29	$5,270.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,612.00 / $18,150.00	Facility		$3,765.00	$8,612.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.97 / $1,690.86 / $3,205.64	Professional		$1,237.97	$1,690.86	$3,205.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $718.66 / $1,104.16 / $2,460.29	Professional		$718.66	$1,104.16	$2,460.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.07 / $1,223.33 / $3,150.28	Professional		$977.07	$1,223.33	$3,150.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $779.60 / $983.13 / $1,346.59	Professional		$779.60	$983.13	$1,346.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.26 / $1,203.44 / $2,213.44	Professional		$932.26	$1,203.44	$2,213.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,588.96 / $10,567.44	Facility		$55.00	$8,588.96	$10,567.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,728.00 / $9,728.00 / $9,728.00	Professional		$9,728.00	$9,728.00	$9,728.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,006.11 / $1,294.80 / $1,976.28	Facility		$1,006.11	$1,294.80	$1,976.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.15 / $1,223.33 / $2,825.58	Professional		$940.15	$1,223.33	$2,825.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,270.49 / $3,270.49 / $3,270.49	Professional		$3,270.49	$3,270.49	$3,270.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $779.60 / $1,091.43 / $1,474.70	Professional		$779.60	$1,091.43	$1,474.70
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 $874.81 / $1,211.99 / $2,758.18	Professional		$874.81	$1,211.99	$2,758.18