Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.10 / $9,639.00 / $20,509.00	Facility		$930.10	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.77 / $930.10 / $5,192.10	Professional		$819.77	$930.10	$5,192.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,241.00 / $18,708.00	Facility		$3,145.00	$9,241.00	$18,708.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,199.80 / $1,527.92 / $3,074.33	Professional		$1,199.80	$1,527.92	$3,074.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,591.57	Facility		$66.00	$100.00	$5,591.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $537.29 / $828.72 / $2,062.44	Professional		$537.29	$828.72	$2,062.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.51 / $1,247.15 / $3,378.58	Professional		$815.51	$1,247.15	$3,378.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $670.14 / $1,014.12 / $1,360.33	Professional		$670.14	$1,014.12	$1,360.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,020.25 / $1,317.83 / $2,352.59	Professional		$1,020.25	$1,317.83	$2,352.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,905.20 / $12,027.50	Facility		$55.00	$9,905.20	$12,027.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,492.71 / $7,492.71 / $9,357.75	Professional		$7,492.71	$7,492.71	$9,357.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $920.60 / $1,264.22 / $1,781.64	Facility		$920.60	$1,264.22	$1,781.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $815.51 / $1,273.58 / $2,860.15	Professional		$815.51	$1,273.58	$2,860.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,221.60 / $3,221.60 / $3,221.60	Professional		$3,221.60	$3,221.60	$3,221.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $670.14 / $1,030.65 / $1,267.65	Professional		$670.14	$1,030.65	$1,267.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.26 / $1,160.36 / $3,373.37	Professional		$803.26	$1,160.36	$3,373.37