Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,631.00 / $20,509.00	Facility		$2,608.00	$7,631.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.16 / $3,516.18 / $11,414.16	Professional		$656.16	$3,516.18	$11,414.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $19,252.00	Facility		$3,537.00	$9,830.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.30 / $9,578.45 / $19,428.14	Professional		$904.30	$9,578.45	$19,428.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $6,859.59	Facility		$65.90	$100.00	$6,859.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $652.19 / $2,657.83 / $11,837.84	Professional		$652.19	$2,657.83	$11,837.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $711.51 / $5,596.75 / $14,303.54	Professional		$711.51	$5,596.75	$14,303.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.30 / $761.06 / $9,972.36	Professional		$595.30	$761.06	$9,972.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.29 / $4,026.00 / $11,218.91	Professional		$637.29	$4,026.00	$11,218.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,265.95 / $11,274.18	Facility		$55.00	$10,265.95	$11,274.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,028.02 / $44,498.52 / $52,245.15	Professional		$23,028.02	$44,498.52	$52,245.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.03 / $1,830.21 / $10,923.20	Facility		$701.03	$1,830.21	$10,923.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $723.56 / $2,722.05 / $14,907.46	Professional		$723.56	$2,722.05	$14,907.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,181.73 / $2,181.73 / $23,997.18	Professional		$2,181.73	$2,181.73	$23,997.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $595.30 / $773.90 / $9,242.70	Professional		$595.30	$773.90	$9,242.70
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $46,770.00	Facility		$8,830.00	$18,191.00	$46,770.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,621.58 / $8,231.56 / $20,881.00	Professional		$5,621.58	$8,231.56	$20,881.00