Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.28 / $9,639.00 / $20,509.00	Facility		$882.28	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.65 / $893.46 / $4,221.14	Professional		$797.65	$893.46	$4,221.14
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 $1,164.45 / $1,592.97 / $2,814.19	Professional		$1,164.45	$1,592.97	$2,814.19
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 $706.15 / $1,086.45 / $2,327.44	Professional		$706.15	$1,086.45	$2,327.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.79 / $1,051.45 / $2,537.17	Professional		$851.79	$1,051.45	$2,537.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $719.66 / $843.69 / $1,096.80	Professional		$719.66	$843.69	$1,096.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.32 / $969.56 / $1,790.12	Professional		$759.32	$969.56	$1,790.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,421.27 / $10,375.86	Facility		$55.00	$8,421.27	$10,375.86
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 $819.90 / $1,166.28 / $1,886.78	Facility		$819.90	$1,166.28	$1,886.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.79 / $1,055.41 / $2,355.38	Professional		$851.79	$1,055.41	$2,355.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,619.14 / $2,619.14 / $2,619.14	Professional		$2,619.14	$2,619.14	$2,619.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $719.66 / $934.25 / $1,361.32	Professional		$719.66	$934.25	$1,361.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.52 / $1,041.94 / $2,211.07	Professional		$701.52	$1,041.94	$2,211.07