Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.42 / $9,639.00 / $20,509.00	Facility		$531.42	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.96 / $515.39 / $2,400.66	Professional		$461.96	$515.39	$2,400.66
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 $673.48 / $909.23 / $1,652.52	Professional		$673.48	$909.23	$1,652.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $5,844.50	Facility		$64.00	$100.00	$5,844.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $410.57 / $632.60 / $1,330.14	Professional		$410.57	$632.60	$1,330.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.39 / $620.03 / $1,539.39	Professional		$497.39	$620.03	$1,539.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $459.05 / $493.62 / $666.39	Professional		$459.05	$493.62	$666.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.46 / $557.63 / $1,035.72	Professional		$442.46	$557.63	$1,035.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,810.85 / $5,940.44	Facility		$55.00	$4,810.85	$5,940.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,076.00 / $5,098.60 / $5,098.60	Professional		$5,076.00	$5,098.60	$5,098.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $674.30 / $1,007.94	Facility		$477.61	$674.30	$1,007.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $497.39 / $622.24 / $1,356.13	Professional		$497.39	$622.24	$1,356.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,489.57 / $1,489.57 / $1,489.57	Professional		$1,489.57	$1,489.57	$1,489.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $456.72 / $578.89 / $868.34	Professional		$456.72	$578.89	$868.34
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 $394.38 / $587.38 / $1,383.83	Professional		$394.38	$587.38	$1,383.83