Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.89 / $9,639.00 / $20,509.00	Facility		$412.89	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.87 / $412.89 / $2,054.15	Professional		$381.87	$412.89	$2,054.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,017.99 / $4,495.00 / $11,233.00	Facility		$1,017.99	$4,495.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.51 / $773.80 / $1,445.63	Professional		$560.51	$773.80	$1,445.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $330.39 / $499.59 / $1,064.60	Professional		$330.39	$499.59	$1,064.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.97 / $509.09 / $1,229.18	Professional		$413.97	$509.09	$1,229.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $392.04 / $432.61 / $545.55	Professional		$392.04	$432.61	$545.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.84 / $465.34 / $849.55	Professional		$352.84	$465.34	$849.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,032.18 / $1,834.26	Facility		$55.00	$1,032.18	$1,834.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,764.52 / $13,299.44 / $13,299.44	Professional		$3,764.52	$13,299.44	$13,299.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.81 / $510.39 / $775.20	Facility		$397.81	$510.39	$775.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $509.09 / $1,157.73	Professional		$414.89	$509.09	$1,157.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,274.57 / $1,274.57 / $1,274.57	Professional		$1,274.57	$1,274.57	$1,274.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $374.08 / $545.55 / $818.34	Professional		$374.08	$545.55	$818.34
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 $344.82 / $492.01 / $1,142.05	Professional		$344.82	$492.01	$1,142.05