Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.47 / $9,639.00 / $20,509.00	Facility		$489.47	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.11 / $489.47 / $2,375.51	Professional		$454.11	$489.47	$2,375.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $10,983.00 / $22,417.00	Facility		$3,537.00	$10,983.00	$22,417.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $730.89 / $1,016.00 / $1,766.39	Professional		$730.89	$1,016.00	$1,766.39
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 $400.25 / $570.30 / $1,167.49	Professional		$400.25	$570.30	$1,167.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.69 / $596.05 / $1,586.47	Professional		$482.69	$596.05	$1,586.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $344.75 / $464.81 / $557.77	Professional		$344.75	$464.81	$557.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.33 / $535.02 / $987.73	Professional		$418.33	$535.02	$987.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,872.92 / $10,954.02	Facility		$55.00	$8,872.92	$10,954.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,203.04 / $3,281.60 / $3,882.68	Professional		$3,203.04	$3,281.60	$3,882.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.85 / $550.84 / $748.75	Facility		$445.85	$550.84	$748.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.75 / $596.05 / $1,379.40	Professional		$478.75	$596.05	$1,379.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,473.97 / $1,473.97 / $1,473.97	Professional		$1,473.97	$1,473.97	$1,473.97
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 $393.54 / $585.60 / $1,297.23	Professional		$393.54	$585.60	$1,297.23