Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.26 / $971.88 / $4,754.71	Professional		$859.26	$971.88	$4,754.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $8,530.00 / $17,774.00	Facility		$3,738.00	$8,530.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,038.51 / $1,397.59 / $2,652.85	Professional		$1,038.51	$1,397.59	$2,652.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,620.13	Facility		$64.20	$100.00	$5,620.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $636.84 / $979.55 / $2,408.89	Professional		$636.84	$979.55	$2,408.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.83 / $1,180.66 / $3,585.54	Professional		$877.83	$1,180.66	$3,585.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $738.27 / $1,004.21 / $1,205.05	Professional		$738.27	$1,004.21	$1,205.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.19 / $1,155.11 / $2,051.35	Professional		$902.19	$1,155.11	$2,051.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,810.00 / $7,355.95	Facility		$55.00	$5,810.00	$7,355.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,566.32 / $6,713.28 / $7,490.10	Professional		$6,566.32	$6,713.28	$7,490.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $961.45 / $1,224.57 / $1,732.50	Facility		$961.45	$1,224.57	$1,732.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.70 / $1,185.61 / $2,561.98	Professional		$894.70	$1,185.61	$2,561.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,950.20 / $2,950.20 / $2,950.20	Professional		$2,950.20	$2,950.20	$2,950.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $738.27 / $1,107.41 / $1,396.53	Professional		$738.27	$1,107.41	$1,396.53
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 $753.55 / $1,107.51 / $3,028.82	Professional		$753.55	$1,107.51	$3,028.82