Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.07 / $9,639.00 / $20,509.00	Facility		$407.07	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.86 / $407.07 / $2,112.86	Professional		$365.86	$407.07	$2,112.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $20,418.00	Facility		$3,537.00	$9,830.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.44 / $764.12 / $1,397.46	Professional		$535.44	$764.12	$1,397.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $310.73 / $477.12 / $1,044.70	Professional		$310.73	$477.12	$1,044.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.85 / $510.77 / $1,207.33	Professional		$410.85	$510.77	$1,207.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $354.80 / $412.11 / $535.74	Professional		$354.80	$412.11	$535.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $485.24 / $879.72	Professional		$376.74	$485.24	$879.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $983.59 / $1,897.67	Facility		$55.00	$983.59	$1,897.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,042.84 / $4,042.84 / $4,042.84	Professional		$4,042.84	$4,042.84	$4,042.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $505.55 / $711.40	Facility		$388.19	$505.55	$711.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.85 / $510.77 / $1,158.88	Professional		$410.85	$510.77	$1,158.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,310.97 / $1,310.97 / $1,310.97	Professional		$1,310.97	$1,310.97	$1,310.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $354.80 / $456.27 / $671.15	Professional		$354.80	$456.27	$671.15
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 $350.32 / $495.28 / $1,154.01	Professional		$350.32	$495.28	$1,154.01