Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.55 / $9,639.00 / $20,509.00	Facility		$747.55	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.77 / $754.70 / $3,947.94	Professional		$708.77	$754.70	$3,947.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,596.00 / $18,150.00	Facility		$4,108.00	$9,596.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,118.82 / $1,555.35 / $2,771.63	Professional		$1,118.82	$1,555.35	$2,771.63
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 $564.36 / $800.95 / $1,675.44	Professional		$564.36	$800.95	$1,675.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.61 / $954.64 / $2,492.92	Professional		$767.61	$954.64	$2,492.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $530.53 / $771.57 / $925.88	Professional		$530.53	$771.57	$925.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.41 / $888.96 / $1,640.58	Professional		$694.41	$888.96	$1,640.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,748.30 / $18,197.97	Facility		$55.00	$14,748.30	$18,197.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,322.56 / $5,451.76 / $6,454.05	Professional		$5,322.56	$5,451.76	$6,454.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $725.39 / $915.01 / $1,242.88	Facility		$725.39	$915.01	$1,242.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.18 / $954.64 / $2,256.51	Professional		$771.18	$954.64	$2,256.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,449.62 / $2,449.62 / $2,449.62	Professional		$2,449.62	$2,449.62	$2,449.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $530.53 / $723.89 / $901.90	Professional		$530.53	$723.89	$901.90
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 $651.34 / $943.25 / $2,201.61	Professional		$651.34	$943.25	$2,201.61