Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.83 / $9,639.00 / $20,509.00	Facility		$1,035.83	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.50 / $993.04 / $4,870.93	Professional		$876.50	$993.04	$4,870.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,958.02 / $8,886.00 / $18,332.29	Facility		$3,958.02	$8,886.00	$18,332.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,054.04 / $1,459.02 / $2,743.37	Professional		$1,054.04	$1,459.02	$2,743.37
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 $624.79 / $963.45 / $2,363.32	Professional		$624.79	$963.45	$2,363.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.13 / $1,199.34 / $3,659.86	Professional		$905.13	$1,199.34	$3,659.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,032.88 / $1,239.48	Professional		$819.06	$1,032.88	$1,239.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.17 / $1,187.81 / $2,104.23	Professional		$924.17	$1,187.81	$2,104.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,941.53 / $7,523.60	Facility		$55.00	$5,941.53	$7,523.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.45 / $7,413.45 / $7,665.98	Professional		$7,413.45	$7,413.45	$7,665.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $972.57 / $1,263.84 / $1,950.00	Facility		$972.57	$1,263.84	$1,950.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $917.46 / $1,208.83 / $2,624.16	Professional		$917.46	$1,208.83	$2,624.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,022.33 / $3,022.33 / $3,022.33	Professional		$3,022.33	$3,022.33	$3,022.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,146.72 / $1,549.35	Professional		$819.06	$1,146.72	$1,549.35
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 $755.54 / $1,118.61 / $3,100.69	Professional		$755.54	$1,118.61	$3,100.69