Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.97 / $877.65 / $3,385.50	Professional		$760.97	$877.65	$3,385.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,055.00 / $23,736.18	Facility		$4,597.00	$11,055.00	$23,736.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.16 / $1,401.46 / $2,603.12	Professional		$915.16	$1,401.46	$2,603.12
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 $614.30 / $937.93 / $2,323.66	Professional		$614.30	$937.93	$2,323.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.16 / $1,097.40 / $3,190.17	Professional		$844.16	$1,097.40	$3,190.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $512.66 / $775.80 / $1,076.45	Professional		$512.66	$775.80	$1,076.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.65 / $1,061.08 / $1,900.44	Professional		$809.65	$1,061.08	$1,900.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,500.00 / $15,476.96	Facility		$55.00	$12,500.00	$15,476.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,126.73 / $12,630.10 / $12,630.10	Professional		$8,126.73	$12,630.10	$12,630.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.86 / $1,121.30 / $1,724.18	Facility		$848.86	$1,121.30	$1,724.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $844.16 / $1,097.40 / $2,359.01	Professional		$844.16	$1,097.40	$2,359.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,687.75 / $2,687.75 / $2,687.75	Professional		$2,687.75	$2,687.75	$2,687.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $512.66 / $823.92 / $994.00	Professional		$512.66	$823.92	$994.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.82 / $963.53 / $2,617.71	Professional		$686.82	$963.53	$2,617.71