Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.00 / $6,631.00 / $18,315.16	Facility		$1,353.00	$6,631.00	$18,315.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.61 / $1,214.39 / $2,038.63	Professional		$231.61	$1,214.39	$2,038.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.41 / $2,088.26 / $4,648.53	Professional		$359.41	$2,088.26	$4,648.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $230.32 / $892.03 / $2,440.53	Professional		$230.32	$892.03	$2,440.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $907.32 / $3,561.87	Professional		$231.73	$907.32	$3,561.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $227.83 / $1,137.00 / $1,748.65	Professional		$227.83	$1,137.00	$1,748.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.91 / $1,127.50 / $2,249.91	Professional		$207.91	$1,127.50	$2,249.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,196.60 / $2,196.60	Facility		$55.00	$2,196.60	$2,196.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,502.76 / $8,591.92 / $10,119.29	Professional		$4,502.76	$8,591.92	$10,119.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.18 / $1,080.96 / $2,066.01	Facility		$239.18	$1,080.96	$2,066.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.47 / $887.20 / $3,369.80	Professional		$236.47	$887.20	$3,369.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $683.53 / $683.53 / $4,606.14	Professional		$683.53	$683.53	$4,606.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.54 / $1,285.66 / $1,767.79	Professional		$208.54	$1,285.66	$1,767.79
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 $1,083.60 / $1,601.57 / $4,486.67	Professional		$1,083.60	$1,601.57	$4,486.67