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 $841.68 / $951.62 / $4,695.24	Professional		$841.68	$951.62	$4,695.24
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 $1,014.47 / $1,404.24 / $2,598.98	Professional		$1,014.47	$1,404.24	$2,598.98
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 $629.26 / $968.24 / $2,380.21	Professional		$629.26	$968.24	$2,380.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.26 / $1,154.90 / $3,515.81	Professional		$867.26	$1,154.90	$3,515.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $992.51 / $1,191.01	Professional		$744.60	$992.51	$1,191.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.57 / $1,141.61 / $2,027.26	Professional		$891.57	$1,141.61	$2,027.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,741.40 / $7,270.20	Facility		$55.00	$5,741.40	$7,270.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,487.76 / $6,633.76 / $7,402.58	Professional		$6,487.76	$6,633.76	$7,402.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $950.63 / $1,222.69 / $1,805.50	Facility		$950.63	$1,222.69	$1,805.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $883.42 / $1,165.81 / $2,530.76	Professional		$883.42	$1,165.81	$2,530.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,913.30 / $2,913.30 / $2,913.30	Professional		$2,913.30	$2,913.30	$2,913.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,101.83 / $1,408.50	Professional		$744.60	$1,101.83	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.02 / $1,122.56 / $3,004.96	Professional		$744.02	$1,122.56	$3,004.96