Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $10,051.00 / $20,509.00	Facility		$1,038.00	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.95 / $577.05 / $3,204.08	Professional		$537.95	$577.05	$3,204.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,260.00 / $17,774.00	Facility		$3,294.00	$9,260.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.10 / $1,131.15 / $2,089.40	Professional		$813.10	$1,131.15	$2,089.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $22,046.94	Facility		$63.50	$100.00	$22,046.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $423.03 / $627.10 / $1,397.30	Professional		$423.03	$627.10	$1,397.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.54 / $769.35 / $1,989.00	Professional		$612.54	$769.35	$1,989.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $496.28 / $607.02 / $744.42	Professional		$496.28	$607.02	$744.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.32 / $708.85 / $1,294.32	Professional		$546.32	$708.85	$1,294.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,627.28 / $14,337.33	Facility		$55.00	$11,627.28	$14,337.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,194.64 / $4,295.84 / $5,088.30	Professional		$4,194.64	$4,295.84	$5,088.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.03 / $717.53 / $977.78	Facility		$570.03	$717.53	$977.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $604.70 / $764.66 / $1,780.90	Professional		$604.70	$764.66	$1,780.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,988.06 / $1,988.06 / $1,988.06	Professional		$1,988.06	$1,988.06	$1,988.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $496.28 / $645.16 / $843.67	Professional		$496.28	$645.16	$843.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.41 / $788.53 / $1,788.26	Professional		$530.41	$788.53	$1,788.26