Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.93 / $9,639.00 / $20,509.00	Facility		$1,019.93	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.13 / $976.25 / $4,729.56	Professional		$862.13	$976.25	$4,729.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,163.93 / $20,418.00	Facility		$4,314.00	$10,163.93	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.27 / $1,324.18 / $2,558.83	Professional		$997.27	$1,324.18	$2,558.83
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 $634.36 / $977.33 / $2,399.52	Professional		$634.36	$977.33	$2,399.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.92 / $1,151.88 / $3,456.83	Professional		$875.92	$1,151.88	$3,456.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $727.10 / $1,004.02 / $1,204.82	Professional		$727.10	$1,004.02	$1,204.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $899.92 / $1,154.61 / $2,047.80	Professional		$899.92	$1,154.61	$2,047.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,616.96 / $8,381.44	Facility		$55.00	$6,616.96	$8,381.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,542.56 / $6,690.08 / $7,467.90	Professional		$6,542.56	$6,690.08	$7,467.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.63 / $1,215.23 / $1,624.38	Facility		$958.63	$1,215.23	$1,624.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $888.95 / $1,172.92 / $2,542.15	Professional		$888.95	$1,172.92	$2,542.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,934.59 / $2,934.59 / $2,934.59	Professional		$2,934.59	$2,934.59	$2,934.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $727.10 / $1,090.65 / $1,375.40	Professional		$727.10	$1,090.65	$1,375.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $5,067.00 / $20,279.00	Facility		$1,890.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.32 / $1,086.83 / $3,014.17	Professional		$726.32	$1,086.83	$3,014.17