Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.74 / $9,639.00 / $20,509.00	Facility		$597.74	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.59 / $568.35 / $3,180.63	Professional		$509.59	$568.35	$3,180.63
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 $839.88 / $1,156.02 / $2,106.19	Professional		$839.88	$1,156.02	$2,106.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $15,962.24	Facility		$63.50	$100.00	$15,962.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $435.55 / $645.73 / $1,360.88	Professional		$435.55	$645.73	$1,360.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.37 / $750.45 / $1,888.90	Professional		$531.37	$750.45	$1,888.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $451.26 / $511.54 / $586.64	Professional		$451.26	$511.54	$586.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.13 / $520.54 / $960.30	Professional		$406.13	$520.54	$960.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,525.72 / $5,589.10	Facility		$55.00	$4,525.72	$5,589.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,190.30 / $3,197.04 / $3,780.08	Professional		$3,190.30	$3,197.04	$3,780.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.79 / $553.86 / $812.87	Facility		$433.79	$553.86	$812.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $531.37 / $763.70 / $1,774.25	Professional		$531.37	$763.70	$1,774.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,973.51 / $1,973.51 / $1,973.51	Professional		$1,973.51	$1,973.51	$1,973.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $408.88 / $511.54 / $869.62	Professional		$408.88	$511.54	$869.62
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 $506.84 / $777.44 / $1,740.49	Professional		$506.84	$777.44	$1,740.49