Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.81 / $9,639.00 / $20,509.00	Facility		$990.81	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.22 / $949.62 / $4,670.09	Professional		$839.22	$949.62	$4,670.09
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 $1,011.43 / $1,325.43 / $2,597.66	Professional		$1,011.43	$1,325.43	$2,597.66
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 $623.69 / $961.75 / $2,359.16	Professional		$623.69	$961.75	$2,359.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.59 / $1,156.47 / $3,514.02	Professional		$861.59	$1,156.47	$3,514.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $749.07 / $992.18 / $1,190.61	Professional		$749.07	$992.18	$1,190.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $889.01 / $1,141.01 / $2,023.23	Professional		$889.01	$1,141.01	$2,023.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,718.86 / $7,239.54	Facility		$55.00	$5,718.86	$7,239.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,462.80 / $6,605.44 / $7,376.40	Professional		$6,462.80	$6,605.44	$7,376.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $946.57 / $1,196.52 / $1,602.18	Facility		$946.57	$1,196.52	$1,602.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $878.34 / $1,158.84 / $2,512.39	Professional		$878.34	$1,158.84	$2,512.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,897.69 / $2,897.69 / $2,897.69	Professional		$2,897.69	$2,897.69	$2,897.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $749.07 / $1,101.50 / $1,416.95	Professional		$749.07	$1,101.50	$1,416.95
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 $739.21 / $1,066.77 / $2,613.64	Professional		$739.21	$1,066.77	$2,613.64