Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.48 / $6,229.00 / $17,380.00	Facility		$793.48	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.10 / $746.80 / $3,406.08	Professional		$122.10	$746.80	$3,406.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $1,078.75 / $2,343.52	Professional		$161.69	$1,078.75	$2,343.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $241.64 / $1,993.74	Facility		$95.50	$241.64	$1,993.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $514.99 / $1,592.67	Professional		$132.77	$514.99	$1,592.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $850.18 / $2,222.21	Professional		$141.85	$850.18	$2,222.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $149.16 / $883.78	Professional		$118.76	$149.16	$883.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $507.93 / $1,170.82	Professional		$124.05	$507.93	$1,170.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $579.08 / $602.21	Facility		$55.00	$579.08	$602.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.73 / $4,380.80 / $5,126.03	Professional		$2,261.73	$4,380.80	$5,126.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $524.86 / $1,107.98	Facility		$136.88	$524.86	$1,107.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $877.50 / $2,080.91	Professional		$148.29	$877.50	$2,080.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $422.18 / $422.18 / $2,631.74	Professional		$422.18	$422.18	$2,631.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $154.38 / $893.49	Professional		$118.76	$154.38	$893.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,753.00 / $7,940.00	Facility		$1,407.00	$2,753.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.90 / $981.48 / $2,792.78	Professional		$640.90	$981.48	$2,792.78