Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.04 / $9,639.00 / $20,509.00	Facility		$851.04	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.97 / $851.04 / $4,810.43	Professional		$753.97	$851.04	$4,810.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,117.00 / $20,418.00	Facility		$4,314.00	$10,117.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,027.72 / $1,362.09 / $2,668.96	Professional		$1,027.72	$1,362.09	$2,668.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $15,638.77	Facility		$64.20	$100.00	$15,638.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $611.63 / $947.47 / $2,313.54	Professional		$611.63	$947.47	$2,313.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.63 / $1,150.20 / $3,332.42	Professional		$837.63	$1,150.20	$3,332.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $693.17 / $1,009.44 / $1,211.33	Professional		$693.17	$1,009.44	$1,211.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.92 / $1,180.48 / $2,106.81	Professional		$911.92	$1,180.48	$2,106.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,214.25 / $7,685.51	Facility		$55.00	$6,214.25	$7,685.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,621.84 / $6,830.80 / $8,274.00	Professional		$6,621.84	$6,830.80	$8,274.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $930.64 / $1,149.17 / $1,656.86	Facility		$930.64	$1,149.17	$1,656.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.85 / $1,168.13 / $2,536.46	Professional		$841.85	$1,168.13	$2,536.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,984.78 / $2,984.78 / $2,984.78	Professional		$2,984.78	$2,984.78	$2,984.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $693.17 / $970.43 / $1,178.38	Professional		$693.17	$970.43	$1,178.38
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 $766.64 / $1,066.66 / $3,080.14	Professional		$766.64	$1,066.66	$3,080.14