Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.25 / $9,639.00 / $20,509.00	Facility		$740.25	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.59 / $740.25 / $4,221.79	Professional		$684.59	$740.25	$4,221.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,800.00 / $24,456.00	Facility		$5,540.00	$12,800.00	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.47 / $1,568.48 / $3,015.69	Professional		$1,086.47	$1,568.48	$3,015.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $250.92 / $358.46 / $896.33	Professional		$250.92	$358.46	$896.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.35 / $1,038.26 / $2,663.73	Professional		$822.35	$1,038.26	$2,663.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $822.35 / $904.59 / $1,069.06	Professional		$822.35	$904.59	$1,069.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.12 / $948.59 / $1,749.97	Professional		$740.12	$948.59	$1,749.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,744.33 / $19,437.81	Facility		$55.00	$15,744.33	$19,437.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,682.88 / $5,823.84 / $6,888.15	Professional		$5,682.88	$5,823.84	$6,888.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.19 / $976.26 / $1,320.51	Facility		$772.19	$976.26	$1,320.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $822.35 / $1,050.78 / $2,350.51	Professional		$822.35	$1,050.78	$2,350.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,619.55 / $2,619.55 / $2,619.55	Professional		$2,619.55	$2,619.55	$2,619.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $662.33 / $772.19 / $910.70	Professional		$662.33	$772.19	$910.70
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 $700.06 / $1,158.71 / $2,354.01	Professional		$700.06	$1,158.71	$2,354.01