Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.64 / $709.52 / $3,778.23	Professional		$654.64	$709.52	$3,778.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,314.00 / $13,707.00	Facility		$2,456.00	$6,314.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.59 / $1,065.05 / $2,059.67	Professional		$812.59	$1,065.05	$2,059.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,485.17	Facility		$64.20	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $497.19 / $783.71 / $1,905.43	Professional		$497.19	$783.71	$1,905.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.14 / $930.30 / $2,542.33	Professional		$680.14	$930.30	$2,542.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $470.96 / $712.70 / $1,018.36	Professional		$470.96	$712.70	$1,018.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.01 / $937.71 / $1,670.88	Professional		$721.01	$937.71	$1,670.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,536.49 / $5,821.48	Facility		$55.00	$4,536.49	$5,821.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,090.88 / $5,256.40 / $5,935.50	Professional		$5,090.88	$5,256.40	$5,935.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.45 / $911.39 / $1,413.00	Facility		$708.45	$911.39	$1,413.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $673.01 / $947.97 / $2,052.76	Professional		$673.01	$947.97	$2,052.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,344.33 / $2,344.33 / $2,344.33	Professional		$2,344.33	$2,344.33	$2,344.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $470.96 / $771.29 / $942.69	Professional		$470.96	$771.29	$942.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,230.00 / $4,243.00 / $10,979.00	Facility		$2,230.00	$4,243.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.08 / $814.99 / $2,359.60	Professional		$570.08	$814.99	$2,359.60