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 $738.89 / $877.30 / $4,917.20	Professional		$738.89	$877.30	$4,917.20
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 $737.64 / $982.96 / $2,670.41	Professional		$737.64	$982.96	$2,670.41
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 $557.49 / $807.06 / $1,922.08	Professional		$557.49	$807.06	$1,922.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.85 / $1,074.41 / $2,555.60	Professional		$801.85	$1,074.41	$2,555.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.44 / $1,192.88 / $1,463.99	Professional		$1,084.44	$1,192.88	$1,463.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.62 / $1,189.40 / $2,177.87	Professional		$864.62	$1,189.40	$2,177.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,209.56 / $11,500.00 / $26,542.00	Facility		$5,209.56	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,742.72 / $6,864.00 / $7,967.03	Professional		$6,742.72	$6,864.00	$7,967.03
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 $858.37 / $1,156.31 / $1,572.44	Facility		$858.37	$1,156.31	$1,572.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $806.66 / $1,118.35 / $2,429.85	Professional		$806.66	$1,118.35	$2,429.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,051.04 / $3,051.04 / $3,051.04	Professional		$3,051.04	$3,051.04	$3,051.04
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 $703.56 / $944.30 / $2,064.13	Professional		$703.56	$944.30	$2,064.13