Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.47 / $6,713.00 / $18,293.00	Facility		$676.47	$6,713.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.92 / $579.16 / $3,712.04	Professional		$460.92	$579.16	$3,712.04
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 $633.23 / $901.87 / $1,929.76	Professional		$633.23	$901.87	$1,929.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,901.71	Facility		$66.00	$100.00	$9,901.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $471.80 / $698.91 / $1,596.18	Professional		$471.80	$698.91	$1,596.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $2,296.29 / $5,409.85	Facility		$1,943.01	$2,296.29	$5,409.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.36 / $839.59 / $2,008.81	Professional		$565.36	$839.59	$2,008.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $721.63 / $909.82 / $1,228.26	Professional		$721.63	$909.82	$1,228.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.04 / $902.04 / $1,473.91	Professional		$632.04	$902.04	$1,473.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,256.28 / $4,334.76 / $26,542.00	Facility		$4,256.28	$4,334.76	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,476.24 / $5,454.48 / $6,448.73	Professional		$4,476.24	$5,454.48	$6,448.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.94 / $854.70 / $1,216.40	Facility		$567.94	$854.70	$1,216.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $578.67 / $896.46 / $1,947.07	Professional		$578.67	$896.46	$1,947.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,024.59 / $2,024.59 / $2,489.82	Professional		$2,024.59	$2,024.59	$2,489.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,594.53 / $9,758.00 / $22,073.00	Facility		$4,594.53	$9,758.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $585.85 / $826.88 / $2,555.07	Professional		$585.85	$826.88	$2,555.07