Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.49 / $9,639.00 / $20,509.00	Facility		$766.49	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.41 / $831.71 / $4,082.06	Professional		$725.41	$831.71	$4,082.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $12,600.00 / $25,864.00	Facility		$5,486.00	$12,600.00	$25,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.94 / $1,295.79 / $2,417.64	Professional		$865.94	$1,295.79	$2,417.64
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 $578.78 / $883.70 / $2,189.28	Professional		$578.78	$883.70	$2,189.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.44 / $1,044.66 / $3,002.94	Professional		$800.44	$1,044.66	$3,002.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $470.21 / $711.58 / $1,017.31	Professional		$470.21	$711.58	$1,017.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.72 / $1,001.33 / $1,762.33	Professional		$763.72	$1,001.33	$1,762.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,775.04 / $14,587.84	Facility		$55.00	$11,775.04	$14,587.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,706.28 / $9,420.83 / $9,420.83	Professional		$8,706.28	$9,420.83	$9,420.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $801.06 / $1,059.70 / $1,668.04	Facility		$801.06	$1,059.70	$1,668.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $803.59 / $1,044.66 / $2,242.42	Professional		$803.59	$1,044.66	$2,242.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,532.83 / $2,532.83 / $2,532.83	Professional		$2,532.83	$2,532.83	$2,532.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $470.21 / $770.87 / $939.46	Professional		$470.21	$770.87	$939.46
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 $644.84 / $921.19 / $2,812.74	Professional		$644.84	$921.19	$2,812.74