Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.13 / $881.01 / $4,342.46	Professional		$779.13	$881.01	$4,342.46
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 $932.54 / $1,273.76 / $2,385.11	Professional		$932.54	$1,273.76	$2,385.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,403.01	Facility		$64.20	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $569.38 / $879.88 / $2,153.71	Professional		$569.38	$879.88	$2,153.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.25 / $1,071.21 / $3,237.90	Professional		$803.25	$1,071.21	$3,237.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $982.87 / $1,228.58	Professional		$819.06	$982.87	$1,228.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.84 / $1,064.43 / $1,885.11	Professional		$827.84	$1,064.43	$1,885.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $5,321.61 / $6,731.48	Facility		$2,000.00	$5,321.61	$6,731.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,254.95 / $7,254.95 / $7,254.95	Professional		$7,254.95	$7,254.95	$7,254.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $869.46 / $1,113.93 / $1,809.81	Facility		$869.46	$1,113.93	$1,809.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.97 / $1,089.25 / $2,341.30	Professional		$825.97	$1,089.25	$2,341.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,694.40 / $2,694.40 / $2,694.40	Professional		$2,694.40	$2,694.40	$2,694.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,032.90 / $1,549.35	Professional		$819.06	$1,032.90	$1,549.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,713.00 / $21,278.00	Facility		$4,110.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.28 / $1,023.40 / $2,573.21	Professional		$686.28	$1,023.40	$2,573.21