Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.74 / $5,178.00 / $16,713.00	Facility		$1,122.74	$5,178.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.34 / $1,042.51 / $3,110.54	Professional		$162.34	$1,042.51	$3,110.54
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 $246.57 / $2,734.09 / $6,049.13	Professional		$246.57	$2,734.09	$6,049.13
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 $173.48 / $707.93 / $3,569.91	Professional		$173.48	$707.93	$3,569.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.25 / $1,617.07 / $4,196.84	Professional		$187.25	$1,617.07	$4,196.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.07 / $1,806.03 / $2,849.04	Professional		$204.07	$1,806.03	$2,849.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.36 / $1,313.87 / $3,173.50	Professional		$192.36	$1,313.87	$3,173.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,247.57 / $3,247.57	Facility		$55.00	$3,247.57	$3,247.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,650.92 / $13,052.90 / $15,009.23	Professional		$6,650.92	$13,052.90	$15,009.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.60 / $480.49 / $3,120.39	Facility		$211.60	$480.49	$3,120.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.79 / $1,341.34 / $4,221.80	Professional		$191.79	$1,341.34	$4,221.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $646.85 / $646.85 / $6,776.63	Professional		$646.85	$646.85	$6,776.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $1,920.24 / $2,709.04	Professional		$185.12	$1,920.24	$2,709.04
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 $1,647.79 / $2,421.91 / $5,714.25	Professional		$1,647.79	$2,421.91	$5,714.25