Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.79 / $9,639.00 / $20,509.00	Facility		$495.79	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.97 / $495.79 / $2,506.92	Professional		$468.97	$495.79	$2,506.92
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 $742.92 / $1,032.78 / $1,830.70	Professional		$742.92	$1,032.78	$1,830.70
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 $404.31 / $577.35 / $1,179.61	Professional		$404.31	$577.35	$1,179.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.30 / $615.34 / $1,618.61	Professional		$492.30	$615.34	$1,618.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $351.45 / $490.27 / $588.32	Professional		$351.45	$490.27	$588.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.24 / $564.10 / $1,041.60	Professional		$441.24	$564.10	$1,041.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,353.19 / $11,565.54	Facility		$55.00	$9,353.19	$11,565.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,378.40 / $3,464.64 / $4,091.70	Professional		$3,378.40	$3,464.64	$4,091.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $468.97 / $580.96 / $787.23	Facility		$468.97	$580.96	$787.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $492.30 / $608.51 / $1,398.83	Professional		$492.30	$608.51	$1,398.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,555.51 / $1,555.51 / $1,555.51	Professional		$1,555.51	$1,555.51	$1,555.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $351.45 / $459.67 / $597.47	Professional		$351.45	$459.67	$597.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.28 / $619.04 / $1,439.84	Professional		$415.28	$619.04	$1,439.84