Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.70 / $5,076.00 / $16,713.00	Facility		$1,157.70	$5,076.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.61 / $753.27 / $3,199.30	Professional		$170.61	$753.27	$3,199.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.94 / $3,720.50 / $7,815.79	Professional		$258.94	$3,720.50	$7,815.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $10,150.11	Facility		$64.00	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $742.04 / $4,797.70	Professional		$182.21	$742.04	$4,797.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.96 / $1,213.94 / $4,815.31	Professional		$195.96	$1,213.94	$4,815.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.74 / $1,951.49 / $2,482.12	Professional		$210.74	$1,951.49	$2,482.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.13 / $986.32 / $2,395.01	Professional		$199.13	$986.32	$2,395.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,463.84 / $2,463.84	Facility		$55.00	$2,463.84	$2,463.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,002.96 / $11,331.83 / $12,542.72	Professional		$5,002.96	$11,331.83	$12,542.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.04 / $493.03 / $2,839.46	Facility		$219.04	$493.03	$2,839.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $1,013.02 / $4,881.93	Professional		$201.63	$1,013.02	$4,881.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $667.38 / $667.38 / $7,112.11	Professional		$667.38	$667.38	$7,112.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $1,972.70 / $3,723.19	Professional		$191.15	$1,972.70	$3,723.19
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,729.28 / $2,773.55 / $6,473.17	Professional		$1,729.28	$2,773.55	$6,473.17