Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.60 / $9,639.00 / $20,509.00	Facility		$758.60	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.49 / $746.84 / $3,791.52	Professional		$675.49	$746.84	$3,791.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.60 / $1,313.21 / $2,513.67	Professional		$840.60	$1,313.21	$2,513.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $555.46 / $853.67 / $1,869.20	Professional		$555.46	$853.67	$1,869.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.49 / $895.06 / $2,201.77	Professional		$722.49	$895.06	$2,201.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $638.04 / $901.19	Professional		$505.96	$638.04	$901.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.90 / $802.21 / $1,477.52	Professional		$623.90	$802.21	$1,477.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,811.02 / $7,984.00	Facility		$55.00	$3,811.02	$7,984.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,784.08 / $4,903.92 / $5,856.68	Professional		$4,784.08	$4,903.92	$5,856.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $683.42 / $920.09 / $1,285.64	Facility		$683.42	$920.09	$1,285.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $711.71 / $891.51 / $2,099.30	Professional		$711.71	$891.51	$2,099.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,352.58 / $2,352.58 / $2,352.58	Professional		$2,352.58	$2,352.58	$2,352.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $708.34 / $957.08	Professional		$505.96	$708.34	$957.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,810.00 / $22,073.00	Facility		$5,200.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.47 / $883.96 / $1,990.06	Professional		$622.47	$883.96	$1,990.06