Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.52 / $9,639.00 / $20,509.00	Facility		$901.52	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.68 / $964.22 / $4,840.06	Professional		$854.68	$964.22	$4,840.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,055.00 / $23,736.18	Facility		$4,597.00	$11,055.00	$23,736.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.21 / $1,443.73 / $2,700.19	Professional		$1,082.21	$1,443.73	$2,700.19
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 $639.63 / $984.25 / $2,419.42	Professional		$639.63	$984.25	$2,419.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $902.37 / $1,177.66 / $3,280.63	Professional		$902.37	$1,177.66	$3,280.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,001.83 / $1,202.20	Professional		$716.68	$1,001.83	$1,202.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.70 / $1,162.35 / $2,083.05	Professional		$902.70	$1,162.35	$2,083.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,961.36 / $8,574.16	Facility		$55.00	$6,961.36	$8,574.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,461.00 / $12,818.24 / $12,818.24	Professional		$9,461.00	$12,818.24	$12,818.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $929.89 / $1,207.74 / $1,799.13	Facility		$929.89	$1,207.74	$1,799.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $876.95 / $1,204.34 / $2,619.81	Professional		$876.95	$1,204.34	$2,619.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,003.18 / $3,003.18 / $3,003.18	Professional		$3,003.18	$3,003.18	$3,003.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,075.02 / $1,355.68	Professional		$716.68	$1,075.02	$1,355.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.24 / $1,121.13 / $3,096.95	Professional		$765.24	$1,121.13	$3,096.95