Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $461.00 / $2,439.10	Professional		$434.40	$461.00	$2,439.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.74 / $758.61 / $1,458.58	Professional		$525.74	$758.61	$1,458.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,835.92	Facility		$66.00	$100.00	$12,835.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $347.02 / $527.00 / $1,309.82	Professional		$347.02	$527.00	$1,309.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.76 / $609.79 / $1,820.02	Professional		$476.76	$609.79	$1,820.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $266.94 / $403.96 / $585.79	Professional		$266.94	$403.96	$585.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.88 / $585.61 / $1,030.68	Professional		$448.88	$585.61	$1,030.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,259.36 / $13,486.75	Facility		$55.00	$5,259.36	$13,486.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.52 / $3,394.08 / $4,042.13	Professional		$3,317.52	$3,394.08	$4,042.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $471.45 / $623.64 / $912.06	Facility		$471.45	$623.64	$912.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $476.76 / $609.79 / $1,332.14	Professional		$476.76	$609.79	$1,332.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,513.41 / $1,513.41 / $1,513.41	Professional		$1,513.41	$1,513.41	$1,513.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $266.94 / $442.36 / $540.66	Professional		$266.94	$442.36	$540.66
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.84 / $564.86 / $1,473.99	Professional		$392.84	$564.86	$1,473.99