Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $10,051.00 / $20,509.00	Facility		$1,038.00	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.07 / $881.58 / $4,751.67	Professional		$800.07	$881.58	$4,751.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,216.00 / $21,510.00	Facility		$3,612.00	$11,216.00	$21,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $976.40 / $1,488.67 / $2,801.49	Professional		$976.40	$1,488.67	$2,801.49
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 $683.61 / $1,046.10 / $2,330.51	Professional		$683.61	$1,046.10	$2,330.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.92 / $1,163.83 / $2,975.31	Professional		$924.92	$1,163.83	$2,975.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $753.54 / $968.69 / $1,162.43	Professional		$753.54	$968.69	$1,162.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $865.99 / $1,123.13 / $2,036.18	Professional		$865.99	$1,123.13	$2,036.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,657.44 / $16,884.16	Facility		$55.00	$13,657.44	$16,884.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,462.56 / $6,618.88 / $7,877.48	Professional		$6,462.56	$6,618.88	$7,877.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $895.55 / $1,125.79 / $1,549.90	Facility		$895.55	$1,125.79	$1,549.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $926.24 / $1,174.15 / $2,744.04	Professional		$926.24	$1,174.15	$2,744.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,948.31 / $2,948.31 / $2,948.31	Professional		$2,948.31	$2,948.31	$2,948.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $753.54 / $979.60 / $1,281.01	Professional		$753.54	$979.60	$1,281.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.39 / $1,157.13 / $3,047.23	Professional		$780.39	$1,157.13	$3,047.23