Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.05 / $827.36 / $4,332.60	Professional		$736.05	$827.36	$4,332.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.13 / $1,371.63 / $2,543.01	Professional		$1,009.13	$1,371.63	$2,543.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,539.24	Facility		$66.00	$100.00	$11,539.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $597.53 / $928.80 / $2,260.19	Professional		$597.53	$928.80	$2,260.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.73 / $1,037.45 / $3,045.31	Professional		$792.73	$1,037.45	$3,045.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $813.25 / $928.41 / $1,206.93	Professional		$813.25	$928.41	$1,206.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $835.57 / $1,068.53 / $1,901.31	Professional		$835.57	$1,068.53	$1,901.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,425.42 / $10,899.50	Facility		$55.00	$5,425.42	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,033.76 / $6,195.76 / $7,064.18	Professional		$6,033.76	$6,195.76	$7,064.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.80 / $1,098.18 / $1,604.94	Facility		$847.80	$1,098.18	$1,604.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $792.73 / $1,064.11 / $2,325.19	Professional		$792.73	$1,064.11	$2,325.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,688.31 / $2,688.31 / $2,688.31	Professional		$2,688.31	$2,688.31	$2,688.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $813.25 / $1,030.07 / $1,382.53	Professional		$813.25	$1,030.07	$1,382.53
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.96 / $931.32 / $2,768.25	Professional		$648.96	$931.32	$2,768.25