Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $20,509.00	Facility		$873.00	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.30 / $868.61 / $4,561.72	Professional		$765.30	$868.61	$4,561.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $11,380.47 / $22,032.00	Facility		$4,667.00	$11,380.47	$22,032.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.64 / $1,352.14 / $2,599.73	Professional		$1,031.64	$1,352.14	$2,599.73
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 $630.32 / $977.85 / $2,384.23	Professional		$630.32	$977.85	$2,384.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.45 / $1,095.51 / $3,153.05	Professional		$826.45	$1,095.51	$3,153.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $841.12 / $958.71 / $1,246.32	Professional		$841.12	$958.71	$1,246.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.76 / $1,120.83 / $2,000.48	Professional		$865.76	$1,120.83	$2,000.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,899.88 / $7,292.32	Facility		$55.00	$5,899.88	$7,292.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,284.08 / $6,480.56 / $7,857.98	Professional		$6,284.08	$6,480.56	$7,857.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.66 / $1,135.39 / $1,614.04	Facility		$896.66	$1,135.39	$1,614.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $826.45 / $1,126.22 / $2,495.48	Professional		$826.45	$1,126.22	$2,495.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,830.46 / $2,830.46 / $2,830.46	Professional		$2,830.46	$2,830.46	$2,830.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $841.12 / $1,061.70 / $1,429.91	Professional		$841.12	$1,061.70	$1,429.91
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 $738.55 / $1,064.35 / $3,288.59	Professional		$738.55	$1,064.35	$3,288.59