Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $21,960.90	Facility		$873.00	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.34 / $508.97 / $2,402.80	Professional		$450.34	$508.97	$2,402.80
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 $713.56 / $987.54 / $1,724.51	Professional		$713.56	$987.54	$1,724.51
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 $335.59 / $481.47 / $1,024.09	Professional		$335.59	$481.47	$1,024.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.78 / $588.83 / $1,520.47	Professional		$472.78	$588.83	$1,520.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.68 / $470.63 / $564.76	Professional		$337.68	$470.63	$564.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.57 / $542.00 / $1,159.56	Professional		$423.57	$542.00	$1,159.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,709.54 / $5,805.80	Facility		$55.00	$4,709.54	$5,805.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,243.68 / $3,320.88 / $3,935.70	Professional		$3,243.68	$3,320.88	$3,935.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.34 / $557.86 / $758.11	Facility		$450.34	$557.86	$758.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.78 / $584.29 / $1,343.74	Professional		$472.78	$584.29	$1,343.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,490.89 / $1,490.89 / $1,490.89	Professional		$1,490.89	$1,490.89	$1,490.89
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 $397.88 / $603.67 / $1,534.41	Professional		$397.88	$603.67	$1,534.41