Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.45 / $9,639.00 / $20,509.00	Facility		$943.45	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.24 / $903.65 / $4,436.13	Professional		$798.24	$903.65	$4,436.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.88 / $8,981.00 / $19,204.00	Facility		$4,043.88	$8,981.00	$19,204.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.48 / $1,270.13 / $2,440.29	Professional		$957.48	$1,270.13	$2,440.29
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 $589.02 / $908.80 / $2,227.98	Professional		$589.02	$908.80	$2,227.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.30 / $1,093.79 / $3,316.31	Professional		$817.30	$1,093.79	$3,316.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $944.44 / $1,133.33	Professional		$744.60	$944.44	$1,133.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.05 / $1,086.10 / $1,924.14	Professional		$845.05	$1,086.10	$1,924.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,432.70 / $6,881.70	Facility		$55.00	$5,432.70	$6,881.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,353.45 / $6,353.45 / $7,007.70	Professional		$6,353.45	$6,353.45	$7,007.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.70 / $1,138.59 / $1,774.61	Facility		$899.70	$1,138.59	$1,774.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $842.07 / $1,110.70 / $2,393.67	Professional		$842.07	$1,110.70	$2,393.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,752.54 / $2,752.54 / $2,752.54	Professional		$2,752.54	$2,752.54	$2,752.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,048.53 / $1,408.50	Professional		$744.60	$1,048.53	$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 $693.28 / $1,058.83 / $3,340.02	Professional		$693.28	$1,058.83	$3,340.02