Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,934.00 / $19,860.00	Facility		$2,616.00	$8,934.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.11 / $800.92 / $4,173.89	Professional		$709.11	$800.92	$4,173.89
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 $966.16 / $1,266.32 / $2,434.71	Professional		$966.16	$1,266.32	$2,434.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $544.12 / $841.88 / $2,058.19	Professional		$544.12	$841.88	$2,058.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.27 / $1,006.33 / $2,826.84	Professional		$746.27	$1,006.33	$2,826.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $887.76 / $1,065.31	Professional		$608.04	$887.76	$1,065.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.98 / $1,021.13 / $1,815.26	Professional		$798.98	$1,021.13	$1,815.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,170.55 / $6,550.67	Facility		$55.00	$5,170.55	$6,550.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,750.88 / $5,930.64 / $6,734.55	Professional		$5,750.88	$5,930.64	$6,734.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.62 / $1,003.00 / $1,406.69	Facility		$809.62	$1,003.00	$1,406.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $746.27 / $1,036.49 / $2,248.27	Professional		$746.27	$1,036.49	$2,248.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,589.83 / $2,589.83 / $2,589.83	Professional		$2,589.83	$2,589.83	$2,589.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $851.26 / $1,033.67	Professional		$608.04	$851.26	$1,033.67
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 $623.42 / $932.88 / $2,540.21	Professional		$623.42	$932.88	$2,540.21