Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $830.86 / $4,168.16	Professional		$758.58	$830.86	$4,168.16
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 $869.50 / $1,203.58 / $2,308.07	Professional		$869.50	$1,203.58	$2,308.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,717.48	Facility		$64.20	$100.00	$5,717.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $581.20 / $899.36 / $2,198.42	Professional		$581.20	$899.36	$2,198.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.21 / $1,011.92 / $2,996.31	Professional		$767.21	$1,011.92	$2,996.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $611.32 / $910.03 / $1,092.04	Professional		$611.32	$910.03	$1,092.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.13 / $1,046.53 / $1,844.83	Professional		$808.13	$1,046.53	$1,844.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,179.37 / $6,590.08	Facility		$55.00	$5,179.37	$6,590.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,059.00 / $6,059.00 / $6,692.25	Professional		$6,059.00	$6,059.00	$6,692.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $1,090.13 / $1,611.29	Facility		$830.86	$1,090.13	$1,611.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $779.11 / $1,052.46 / $2,242.46	Professional		$779.11	$1,052.46	$2,242.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,586.26 / $2,586.26 / $2,586.26	Professional		$2,586.26	$2,586.26	$2,586.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $611.32 / $916.97 / $1,156.38	Professional		$611.32	$916.97	$1,156.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $15,471.00	Facility		$3,459.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.56 / $1,015.02 / $2,865.40	Professional		$658.56	$1,015.02	$2,865.40