Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.11 / $9,639.00 / $20,509.00	Facility		$878.11	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.81 / $878.11 / $4,668.80	Professional		$721.81	$878.11	$4,668.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,580.10 / $18,150.00	Facility		$3,765.00	$8,580.10	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.43 / $1,515.71 / $2,913.97	Professional		$1,156.43	$1,515.71	$2,913.97
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 $577.44 / $897.64 / $2,188.17	Professional		$577.44	$897.64	$2,188.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.50 / $1,132.13 / $3,047.23	Professional		$742.50	$1,132.13	$3,047.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,133.10 / $1,390.64	Professional		$967.98	$1,133.10	$1,390.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $927.09 / $1,189.65 / $2,128.94	Professional		$927.09	$1,189.65	$2,128.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,808.59 / $11,926.86	Facility		$55.00	$9,808.59	$11,926.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,993.06 / $8,256.83 / $8,421.37	Professional		$7,993.06	$8,256.83	$8,421.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.86 / $1,170.33 / $1,795.82	Facility		$933.86	$1,170.33	$1,795.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.23 / $1,149.72 / $2,493.34	Professional		$750.23	$1,149.72	$2,493.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,896.91 / $2,896.91 / $2,896.91	Professional		$2,896.91	$2,896.91	$2,896.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.07 / $1,220.70 / $1,831.05	Professional		$933.07	$1,220.70	$1,831.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.36 / $1,035.30 / $2,703.22	Professional		$720.36	$1,035.30	$2,703.22