Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.24 / $9,639.00 / $20,509.00	Facility		$686.24	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $686.24 / $3,746.40	Professional		$650.79	$686.24	$3,746.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,189.00 / $22,008.00	Facility		$4,108.00	$10,189.00	$22,008.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.00 / $1,099.65 / $2,114.28	Professional		$839.00	$1,099.65	$2,114.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $691.52 / $1,673.20	Professional		$441.95	$691.52	$1,673.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.47 / $922.55 / $2,581.79	Professional		$701.47	$922.55	$2,581.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $802.56 / $963.07	Professional		$421.82	$802.56	$963.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.30 / $924.42 / $1,649.52	Professional		$722.30	$924.42	$1,649.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,873.44 / $13,508.32	Facility		$55.00	$10,873.44	$13,508.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,168.32 / $5,292.96 / $6,281.48	Professional		$5,168.32	$5,292.96	$6,281.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.65 / $912.47 / $1,237.14	Facility		$731.65	$912.47	$1,237.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $692.43 / $922.55 / $2,044.77	Professional		$692.43	$922.55	$2,044.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,324.58 / $2,324.58 / $2,324.58	Professional		$2,324.58	$2,324.58	$2,324.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $717.09 / $889.70	Professional		$421.82	$717.09	$889.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.46 / $819.00 / $2,411.96	Professional		$578.46	$819.00	$2,411.96