Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.96 / $9,639.00 / $20,509.00	Facility		$951.96	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.26 / $951.96 / $4,961.67	Professional		$846.26	$951.96	$4,961.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,239.00 / $18,725.00	Facility		$3,518.00	$8,239.00	$18,725.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,151.20 / $1,508.85 / $2,901.02	Professional		$1,151.20	$1,508.85	$2,901.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $614.79 / $947.37 / $2,325.54	Professional		$614.79	$947.37	$2,325.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.61 / $1,191.42 / $3,428.45	Professional		$893.61	$1,191.42	$3,428.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $790.96 / $1,057.94 / $1,269.53	Professional		$790.96	$1,057.94	$1,269.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.15 / $1,218.33 / $2,169.94	Professional		$952.15	$1,218.33	$2,169.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,203.75 / $7,845.25	Facility		$55.00	$6,203.75	$7,845.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,328.64 / $8,328.64 / $8,328.64	Professional		$8,328.64	$8,328.64	$8,328.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.53 / $1,207.28 / $1,692.70	Facility		$958.53	$1,207.28	$1,692.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $898.42 / $1,235.61 / $2,667.94	Professional		$898.42	$1,235.61	$2,667.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,078.61 / $3,078.61 / $3,078.61	Professional		$3,078.61	$3,078.61	$3,078.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $790.96 / $1,107.33 / $1,344.63	Professional		$790.96	$1,107.33	$1,344.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.42 / $1,142.46 / $3,346.50	Professional		$761.42	$1,142.46	$3,346.50