Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.25 / $5,740.00 / $17,701.00	Facility		$897.25	$5,740.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $544.72 / $946.66	Professional		$153.87	$544.72	$946.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.04 / $1,151.21 / $2,090.98	Professional		$263.04	$1,151.21	$2,090.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,389.08	Facility		$64.40	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $648.95 / $1,037.97 / $2,042.48	Professional		$648.95	$1,037.97	$2,042.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.26 / $474.16 / $1,443.36	Professional		$169.26	$474.16	$1,443.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $686.46 / $1,081.26	Professional		$164.46	$686.46	$1,081.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $436.97 / $778.99	Professional		$156.01	$436.97	$778.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $767.74 / $856.81	Facility		$55.00	$767.74	$856.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.80 / $4,750.47 / $5,400.09	Professional		$1,739.80	$4,750.47	$5,400.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.47 / $473.27 / $1,160.03	Facility		$179.47	$473.27	$1,160.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.50 / $464.45 / $1,453.97	Professional		$169.50	$464.45	$1,453.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $521.41 / $521.41 / $1,982.03	Professional		$521.41	$521.41	$1,982.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $857.41 / $1,621.89	Professional		$153.84	$857.41	$1,621.89
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,523.00 / $6,920.00	Facility		$548.00	$1,523.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.69 / $785.05 / $1,792.33	Professional		$490.69	$785.05	$1,792.33