Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,830.00 / $18,681.00	Facility		$2,197.85	$7,830.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.08 / $826.75 / $4,326.08	Professional		$734.08	$826.75	$4,326.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,747.00 / $19,696.00	Facility		$3,242.00	$9,747.00	$19,696.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.57 / $1,314.04 / $2,526.48	Professional		$1,002.57	$1,314.04	$2,526.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,804.58	Facility		$66.00	$100.00	$5,804.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $605.51 / $939.20 / $2,290.37	Professional		$605.51	$939.20	$2,290.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.74 / $1,038.60 / $3,009.83	Professional		$800.74	$1,038.60	$3,009.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $639.96 / $919.64 / $1,103.57	Professional		$639.96	$919.64	$1,103.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.68 / $1,068.80 / $1,911.42	Professional		$827.68	$1,068.80	$1,911.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,125.84 / $10,899.50	Facility		$55.00	$6,125.84	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,983.09 / $7,983.09 / $7,983.09	Professional		$7,983.09	$7,983.09	$7,983.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $838.93 / $1,086.13 / $1,680.96	Facility		$838.93	$1,086.13	$1,680.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $800.74 / $1,058.34 / $2,330.06	Professional		$800.74	$1,058.34	$2,330.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,684.26 / $2,684.26 / $2,684.26	Professional		$2,684.26	$2,684.26	$2,684.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $639.96 / $895.95 / $1,087.94	Professional		$639.96	$895.95	$1,087.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.25 / $1,005.06 / $2,922.66	Professional		$646.25	$1,005.06	$2,922.66