Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.52 / $9,639.00 / $20,509.00	Facility		$484.52	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.11 / $473.29 / $1,768.05	Professional		$359.11	$473.29	$1,768.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $8,621.89 / $17,774.00	Facility		$3,908.00	$8,621.89	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.41 / $867.21 / $1,422.03	Professional		$630.41	$867.21	$1,422.03
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 $399.60 / $605.83 / $1,178.69	Professional		$399.60	$605.83	$1,178.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.06 / $539.40 / $1,414.58	Professional		$373.06	$539.40	$1,414.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $322.98 / $460.16 / $580.29	Professional		$322.98	$460.16	$580.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.68 / $381.56 / $699.53	Professional		$290.68	$381.56	$699.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $789.09 / $2,017.05	Facility		$55.00	$789.09	$2,017.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,830.56 / $3,830.56 / $3,830.56	Professional		$3,830.56	$3,830.56	$3,830.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.09 / $519.82 / $915.75	Facility		$351.09	$519.82	$915.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $373.06 / $555.46 / $1,271.33	Professional		$373.06	$555.46	$1,271.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,097.02 / $1,097.02 / $1,097.02	Professional		$1,097.02	$1,097.02	$1,097.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $308.08 / $580.29 / $870.45	Professional		$308.08	$580.29	$870.45
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 $295.22 / $492.87 / $984.52	Professional		$295.22	$492.87	$984.52