Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.49 / $9,639.00 / $20,509.00	Facility		$475.49	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.81 / $475.49 / $2,506.92	Professional		$450.81	$475.49	$2,506.92
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 $711.96 / $989.74 / $1,764.21	Professional		$711.96	$989.74	$1,764.21
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 $370.94 / $524.54 / $1,102.70	Professional		$370.94	$524.54	$1,102.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.30 / $601.95 / $1,583.16	Professional		$486.30	$601.95	$1,583.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $490.27 / $588.32	Professional		$337.30	$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 / $7,126.24 / $8,811.84	Facility		$55.00	$7,126.24	$8,811.84
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 $460.65 / $580.96 / $789.79	Facility		$460.65	$580.96	$789.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $473.46 / $601.95 / $1,394.34	Professional		$473.46	$601.95	$1,394.34
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 $337.30 / $459.67 / $573.41	Professional		$337.30	$459.67	$573.41
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 $413.44 / $615.29 / $1,368.95	Professional		$413.44	$615.29	$1,368.95