Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,393.00	Facility		$1,820.00	$6,631.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.08 / $830.70 / $4,694.20	Professional		$697.08	$830.70	$4,694.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $7,166.00 / $15,328.00	Facility		$2,696.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.39 / $937.52 / $2,550.67	Professional		$696.39	$937.52	$2,550.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,138.75	Facility		$66.00	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $534.57 / $782.60 / $1,860.79	Professional		$534.57	$782.60	$1,860.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.77 / $1,036.18 / $2,425.87	Professional		$763.77	$1,036.18	$2,425.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.30 / $1,149.83 / $1,411.16	Professional		$1,045.30	$1,149.83	$1,411.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.60 / $1,142.78 / $2,389.17	Professional		$831.60	$1,142.78	$2,389.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,332.32 / $11,500.00 / $26,542.00	Facility		$3,332.32	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,470.00 / $6,587.04 / $7,647.98	Professional		$6,470.00	$6,587.04	$7,647.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $803.01 / $1,105.35 / $1,523.57	Facility		$803.01	$1,105.35	$1,523.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $801.96 / $1,066.85 / $2,367.59	Professional		$801.96	$1,066.85	$2,367.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,912.66 / $2,912.66 / $2,912.66	Professional		$2,912.66	$2,912.66	$2,912.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,035.00 / $7,473.00 / $15,471.00	Facility		$4,035.00	$7,473.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.58 / $900.56 / $1,987.52	Professional		$670.58	$900.56	$1,987.52