Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.97 / $9,639.00 / $20,509.00	Facility		$849.97	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.99 / $849.97 / $4,993.89	Professional		$694.99	$849.97	$4,993.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $6,963.00 / $16,413.00	Facility		$2,399.48	$6,963.00	$16,413.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.15 / $1,485.20 / $2,914.47	Professional		$1,133.15	$1,485.20	$2,914.47
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 $629.24 / $977.14 / $2,380.13	Professional		$629.24	$977.14	$2,380.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.91 / $1,199.54 / $3,213.56	Professional		$849.91	$1,199.54	$3,213.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $730.82 / $1,084.01 / $1,300.81	Professional		$730.82	$1,084.01	$1,300.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.61 / $1,263.16 / $2,252.98	Professional		$975.61	$1,263.16	$2,252.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,504.00 / $11,536.80	Facility		$55.00	$9,504.00	$11,536.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,939.52 / $7,093.84 / $8,980.58	Professional		$6,939.52	$7,093.84	$8,980.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $986.83 / $1,237.36 / $1,879.86	Facility		$986.83	$1,237.36	$1,879.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $849.91 / $1,235.48 / $2,744.83	Professional		$849.91	$1,235.48	$2,744.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,098.60 / $3,098.60 / $3,098.60	Professional		$3,098.60	$3,098.60	$3,098.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $730.82 / $1,096.24 / $1,382.44	Professional		$730.82	$1,096.24	$1,382.44
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 $773.02 / $1,113.50 / $3,031.44	Professional		$773.02	$1,113.50	$3,031.44