Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,050.00 / $18,483.00	Facility		$2,387.00	$8,050.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.20 / $788.40 / $4,139.67	Professional		$694.20	$788.40	$4,139.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,117.00 / $20,418.00	Facility		$4,314.00	$10,117.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.62 / $1,226.29 / $2,357.76	Professional		$935.62	$1,226.29	$2,357.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $15,638.77	Facility		$64.20	$100.00	$15,638.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $571.94 / $887.52 / $2,163.39	Professional		$571.94	$887.52	$2,163.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.00 / $994.15 / $2,860.79	Professional		$753.00	$994.15	$2,860.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $875.25 / $1,064.07	Professional		$709.38	$875.25	$1,064.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.78 / $1,019.08 / $1,821.60	Professional		$787.78	$1,019.08	$1,821.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,355.00 / $6,629.63	Facility		$55.00	$5,355.00	$6,629.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,711.36 / $5,892.48 / $7,130.78	Professional		$5,711.36	$5,892.48	$7,130.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $815.26 / $1,019.41 / $1,464.52	Facility		$815.26	$1,019.41	$1,464.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $753.00 / $1,025.52 / $2,266.77	Professional		$753.00	$1,025.52	$2,266.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,568.59 / $2,568.59 / $2,568.59	Professional		$2,568.59	$2,568.59	$2,568.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $969.39 / $1,205.95	Professional		$709.38	$969.39	$1,205.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.35 / $987.84 / $2,636.27	Professional		$674.35	$987.84	$2,636.27