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 $443.76 / $845.25 / $4,508.89	Professional		$443.76	$845.25	$4,508.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.18 / $1,333.19 / $2,563.29	Professional		$1,017.18	$1,333.19	$2,563.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,800.46	Facility		$66.00	$100.00	$5,800.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $632.84 / $978.05 / $2,384.60	Professional		$632.84	$978.05	$2,384.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.68 / $1,082.50 / $3,039.14	Professional		$821.68	$1,082.50	$3,039.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $953.62 / $1,048.98 / $1,239.71	Professional		$953.62	$1,048.98	$1,239.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.26 / $1,097.68 / $1,953.53	Professional		$858.26	$1,097.68	$1,953.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,576.13 / $7,592.40	Facility		$55.00	$5,576.13	$7,592.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,407.94 / $6,407.94 / $7,259.70	Professional		$6,407.94	$6,407.94	$7,259.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $872.82 / $1,128.45 / $1,701.10	Facility		$872.82	$1,128.45	$1,701.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $821.68 / $1,099.30 / $2,431.33	Professional		$821.68	$1,099.30	$2,431.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,797.70 / $2,797.70 / $2,797.70	Professional		$2,797.70	$2,797.70	$2,797.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $866.13 / $1,058.05	Professional		$608.04	$866.13	$1,058.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,955.00 / $7,274.00 / $16,173.00	Facility		$3,955.00	$7,274.00	$16,173.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.16 / $974.22 / $2,884.84	Professional		$699.16	$974.22	$2,884.84