Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $5,165.00 / $16,713.00	Facility		$1,080.00	$5,165.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $1,649.83 / $7,723.89	Professional		$192.21	$1,649.83	$7,723.89
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 $346.44 / $3,249.65 / $6,597.11	Professional		$346.44	$3,249.65	$6,597.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $205.80 / $797.78 / $3,425.39	Professional		$205.80	$797.78	$3,425.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.01 / $1,657.94 / $5,068.93	Professional		$205.01	$1,657.94	$5,068.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $182.07 / $1,577.81 / $2,601.06	Professional		$182.07	$1,577.81	$2,601.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $1,478.25 / $3,419.14	Professional		$172.06	$1,478.25	$3,419.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,217.68 / $3,217.68	Facility		$55.00	$3,217.68	$3,217.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,533.68 / $12,622.24 / $14,896.20	Professional		$6,533.68	$12,622.24	$14,896.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.03 / $1,536.75 / $3,004.26	Facility		$200.03	$1,536.75	$3,004.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.31 / $1,478.25 / $4,987.31	Professional		$210.31	$1,478.25	$4,987.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $571.86 / $571.86 / $6,455.19	Professional		$571.86	$571.86	$6,455.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $1,912.59 / $2,629.81	Professional		$171.11	$1,912.59	$2,629.81
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.40 / $2,324.15 / $6,585.76	Professional		$1,513.40	$2,324.15	$6,585.76