Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $20,509.00	Facility		$873.00	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.54 / $426.72 / $2,154.40	Professional		$403.54	$426.72	$2,154.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $6,986.00 / $13,707.00	Facility		$2,629.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.38 / $885.06 / $1,545.25	Professional		$639.38	$885.06	$1,545.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $301.07 / $431.93 / $917.98	Professional		$301.07	$431.93	$917.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.59 / $528.17 / $1,360.55	Professional		$423.59	$528.17	$1,360.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $302.31 / $421.89 / $506.27	Professional		$302.31	$421.89	$506.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.63 / $489.17 / $896.81	Professional		$384.63	$489.17	$896.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,222.57 / $5,198.71	Facility		$55.00	$4,222.57	$5,198.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,906.88 / $2,974.16 / $3,529.73	Professional		$2,906.88	$2,974.16	$3,529.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.54 / $500.02 / $679.58	Facility		$403.54	$500.02	$679.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.59 / $523.63 / $1,203.96	Professional		$423.59	$523.63	$1,203.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,336.76 / $1,336.76 / $1,336.76	Professional		$1,336.76	$1,336.76	$1,336.76
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 $356.99 / $529.33 / $1,176.63	Professional		$356.99	$529.33	$1,176.63