Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.30 / $9,639.00 / $20,509.00	Facility		$989.30	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.28 / $947.71 / $4,637.97	Professional		$837.28	$947.71	$4,637.97
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 $1,010.60 / $1,316.22 / $2,574.16	Professional		$1,010.60	$1,316.22	$2,574.16
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 $618.42 / $953.12 / $2,339.25	Professional		$618.42	$953.12	$2,339.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.33 / $1,151.47 / $3,509.66	Professional		$856.33	$1,151.47	$3,509.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $985.98 / $1,183.18	Professional		$744.60	$985.98	$1,183.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $883.37 / $1,133.88 / $2,010.43	Professional		$883.37	$1,133.88	$2,010.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,682.39 / $7,192.85	Facility		$55.00	$5,682.39	$7,192.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,420.96 / $6,562.40 / $7,330.05	Professional		$6,420.96	$6,562.40	$7,330.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $939.58 / $1,194.10 / $1,805.50	Facility		$939.58	$1,194.10	$1,805.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $872.51 / $1,166.36 / $2,502.02	Professional		$872.51	$1,166.36	$2,502.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,877.76 / $2,877.76 / $2,877.76	Professional		$2,877.76	$2,877.76	$2,877.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,094.60 / $1,408.50	Professional		$744.60	$1,094.60	$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 $734.21 / $1,068.06 / $2,748.29	Professional		$734.21	$1,068.06	$2,748.29