Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.35 / $890.04 / $3,994.00	Professional		$739.35	$890.04	$3,994.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $8,971.00 / $18,030.00	Facility		$3,028.00	$8,971.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.00 / $1,536.89 / $2,849.39	Professional		$1,131.00	$1,536.89	$2,849.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $939.01 / $1,341.44 / $3,083.36	Professional		$939.01	$1,341.44	$3,083.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.85 / $1,122.59 / $3,123.66	Professional		$841.85	$1,122.59	$3,123.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $544.28 / $921.68 / $1,106.02	Professional		$544.28	$921.68	$1,106.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $853.57 / $1,110.49 / $1,960.86	Professional		$853.57	$1,110.49	$1,960.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,071.20 / $7,592.40	Facility		$55.00	$5,071.20	$7,592.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,258.96 / $6,442.48 / $7,878.30	Professional		$6,258.96	$6,442.48	$7,878.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $869.31 / $1,089.56 / $1,474.69	Facility		$869.31	$1,089.56	$1,474.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $841.85 / $1,146.90 / $2,486.69	Professional		$841.85	$1,146.90	$2,486.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,869.75 / $2,869.75 / $2,869.75	Professional		$2,869.75	$2,869.75	$2,869.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $544.28 / $834.46 / $1,019.90	Professional		$544.28	$834.46	$1,019.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $16,148.00	Facility		$3,800.00	$7,454.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.90 / $1,143.36 / $3,362.50	Professional		$752.90	$1,143.36	$3,362.50