Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.18 / $9,639.00 / $20,509.00	Facility		$687.18	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.94 / $747.27 / $3,655.67	Professional		$650.94	$747.27	$3,655.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,055.00 / $23,736.18	Facility		$4,597.00	$11,055.00	$23,736.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.82 / $1,230.52 / $2,338.94	Professional		$775.82	$1,230.52	$2,338.94
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 $518.14 / $791.20 / $1,959.90	Professional		$518.14	$791.20	$1,959.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.42 / $939.65 / $2,694.33	Professional		$717.42	$939.65	$2,694.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $534.25 / $764.94 / $917.93	Professional		$534.25	$764.94	$917.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.45 / $900.95 / $1,585.67	Professional		$688.45	$900.95	$1,585.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,559.52 / $13,077.12	Facility		$55.00	$10,559.52	$13,077.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,761.84 / $7,761.84 / $7,761.84	Professional		$7,761.84	$7,761.84	$7,761.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $720.76 / $952.22 / $1,581.62	Facility		$720.76	$952.22	$1,581.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $722.81 / $939.65 / $2,005.82	Professional		$722.81	$939.65	$2,005.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,268.27 / $2,268.27 / $2,268.27	Professional		$2,268.27	$2,268.27	$2,268.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $534.25 / $801.38 / $1,010.60	Professional		$534.25	$801.38	$1,010.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.44 / $844.43 / $2,221.71	Professional		$580.44	$844.43	$2,221.71