Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.43 / $9,639.00 / $20,509.00	Facility		$984.43	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.58 / $984.43 / $4,773.78	Professional		$896.58	$984.43	$4,773.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,323.29 / $17,015.00	Facility		$3,640.00	$8,323.29	$17,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.46 / $1,893.04 / $3,393.46	Professional		$1,324.46	$1,893.04	$3,393.46
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 $810.22 / $1,246.04 / $2,606.44	Professional		$810.22	$1,246.04	$2,606.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.97 / $1,189.09 / $2,861.39	Professional		$977.97	$1,189.09	$2,861.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $937.87 / $1,026.06 / $1,293.94	Professional		$937.87	$1,026.06	$1,293.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.08 / $1,088.99 / $2,003.41	Professional		$844.08	$1,088.99	$2,003.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,496.62 / $11,688.16	Facility		$55.00	$9,496.62	$11,688.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,151.00	Professional		$10,151.00	$10,151.00	$10,151.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.70 / $1,310.92 / $2,015.88	Facility		$919.70	$1,310.92	$2,015.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $977.97 / $1,193.09 / $2,672.81	Professional		$977.97	$1,193.09	$2,672.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,962.05 / $2,962.05 / $2,962.05	Professional		$2,962.05	$2,962.05	$2,962.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $882.87 / $1,293.94 / $1,940.91	Professional		$882.87	$1,293.94	$1,940.91
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 $796.05 / $1,152.90 / $2,421.35	Professional		$796.05	$1,152.90	$2,421.35