Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.04 / $9,639.00 / $20,509.00	Facility		$979.04	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.16 / $979.04 / $4,924.72	Professional		$827.16	$979.04	$4,924.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,557.00 / $19,252.00	Facility		$3,028.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $951.77 / $1,317.45 / $2,676.42	Professional		$951.77	$1,317.45	$2,676.42
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 $567.63 / $873.04 / $2,106.76	Professional		$567.63	$873.04	$2,106.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.97 / $1,184.07 / $3,198.66	Professional		$870.97	$1,184.07	$3,198.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,080.23 / $1,296.28	Professional		$744.60	$1,080.23	$1,296.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.88 / $1,265.02 / $2,557.23	Professional		$969.88	$1,265.02	$2,557.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,220.00 / $8,938.64	Facility		$55.00	$7,220.00	$8,938.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,427.52 / $7,672.63 / $8,357.18	Professional		$7,427.52	$7,672.63	$8,357.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $962.79 / $1,215.52 / $1,762.55	Facility		$962.79	$1,215.52	$1,762.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.97 / $1,225.33 / $2,685.46	Professional		$870.97	$1,225.33	$2,685.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,055.70 / $3,055.70 / $3,055.70	Professional		$3,055.70	$3,055.70	$3,055.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,116.90 / $1,408.50	Professional		$744.60	$1,116.90	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,108.00 / $18,709.00	Facility		$1,919.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.31 / $1,114.88 / $3,076.06	Professional		$780.31	$1,114.88	$3,076.06