Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,143.89 / $10,321.00 / $22,330.11	Facility		$2,143.89	$10,321.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.56 / $595.80 / $2,143.89	Professional		$418.56	$595.80	$2,143.89
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 $809.64 / $1,088.70 / $1,676.81	Professional		$809.64	$1,088.70	$1,676.81
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 $484.63 / $736.59 / $1,425.09	Professional		$484.63	$736.59	$1,425.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.02 / $664.76 / $1,715.47	Professional		$429.02	$664.76	$1,715.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $376.02 / $376.55 / $508.34	Professional		$376.02	$376.55	$508.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.90 / $442.68 / $814.00	Professional		$338.90	$442.68	$814.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $899.00 / $2,505.44	Facility		$55.00	$899.00	$2,505.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,479.20 / $3,982.75 / $4,114.18	Professional		$3,479.20	$3,982.75	$4,114.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.22 / $602.48 / $1,040.91	Facility		$409.22	$602.48	$1,040.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.02 / $691.22 / $1,582.49	Professional		$429.02	$691.22	$1,582.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,263.74 / $1,263.74 / $1,263.74	Professional		$1,263.74	$1,263.74	$1,263.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $359.16 / $474.20 / $711.29	Professional		$359.16	$474.20	$711.29
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 $352.20 / $585.22 / $1,133.66	Professional		$352.20	$585.22	$1,133.66