Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.54 / $9,665.00 / $20,509.00	Facility		$874.54	$9,665.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.17 / $847.02 / $4,057.50	Professional		$740.17	$847.02	$4,057.50
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 $882.84 / $1,162.29 / $2,242.04	Professional		$882.84	$1,162.29	$2,242.04
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 $540.19 / $834.02 / $2,043.31	Professional		$540.19	$834.02	$2,043.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.45 / $1,010.37 / $3,049.11	Professional		$750.45	$1,010.37	$3,049.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $626.95 / $863.80 / $1,036.56	Professional		$626.95	$863.80	$1,036.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.70 / $993.37 / $1,759.54	Professional		$772.70	$993.37	$1,759.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,967.27 / $6,290.34	Facility		$55.00	$4,967.27	$6,290.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,677.00 / $9,677.00 / $9,677.00	Professional		$9,677.00	$9,677.00	$9,677.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $822.78 / $1,052.40 / $1,453.50	Facility		$822.78	$1,052.40	$1,453.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $772.70 / $1,020.94 / $2,189.26	Professional		$772.70	$1,020.94	$2,189.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,517.59 / $2,517.59 / $2,517.59	Professional		$2,517.59	$2,517.59	$2,517.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $626.95 / $940.43 / $1,185.96	Professional		$626.95	$940.43	$1,185.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,954.50 / $9,699.00 / $21,278.00	Facility		$3,954.50	$9,699.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.60 / $956.32 / $2,582.81	Professional		$631.60	$956.32	$2,582.81