Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.73 / $9,639.00 / $20,509.00	Facility		$867.73	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.44 / $867.73 / $4,210.93	Professional		$815.44	$867.73	$4,210.93
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 $1,296.15 / $1,794.35 / $3,132.49	Professional		$1,296.15	$1,794.35	$3,132.49
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 $673.97 / $954.31 / $1,964.02	Professional		$673.97	$954.31	$1,964.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.65 / $1,068.70 / $2,659.59	Professional		$856.65	$1,068.70	$2,659.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $611.69 / $822.18 / $986.62	Professional		$611.69	$822.18	$986.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $947.04 / $1,970.97	Professional		$739.96	$947.04	$1,970.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,969.44 / $14,786.24	Facility		$55.00	$11,969.44	$14,786.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,672.08 / $5,814.08 / $6,873.15	Professional		$5,672.08	$5,814.08	$6,873.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $789.20 / $975.00 / $1,324.42	Facility		$789.20	$975.00	$1,324.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $864.44 / $1,068.70 / $2,595.48	Professional		$864.44	$1,068.70	$2,595.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,612.80 / $2,612.80 / $2,612.80	Professional		$2,612.80	$2,612.80	$2,612.80
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 $698.04 / $1,035.01 / $2,310.39	Professional		$698.04	$1,035.01	$2,310.39