Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.55 / $5,068.00 / $17,133.00	Facility		$947.55	$5,068.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $637.35 / $1,342.87	Professional		$160.63	$637.35	$1,342.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $8,823.00 / $16,846.00	Facility		$2,456.00	$8,823.00	$16,846.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.93 / $1,290.07 / $2,645.82	Professional		$253.93	$1,290.07	$2,645.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $27,955.87	Facility		$77.09	$100.00	$27,955.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $171.65 / $652.75 / $1,532.66	Professional		$171.65	$652.75	$1,532.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $578.45 / $1,592.45	Professional		$180.16	$578.45	$1,592.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $176.31 / $789.65 / $890.15	Professional		$176.31	$789.65	$890.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.92 / $472.11 / $1,002.11	Professional		$166.92	$472.11	$1,002.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $770.52 / $1,086.28	Facility		$55.00	$770.52	$1,086.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,203.13 / $4,153.20 / $4,913.93	Professional		$2,203.13	$4,153.20	$4,913.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.61 / $463.21 / $1,147.22	Facility		$183.61	$463.21	$1,147.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.48 / $521.70 / $1,592.45	Professional		$180.48	$521.70	$1,592.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $548.25 / $548.25 / $2,418.79	Professional		$548.25	$548.25	$2,418.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $789.65 / $1,184.47	Professional		$159.88	$789.65	$1,184.47
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.90 / $946.96 / $2,180.54	Professional		$615.90	$946.96	$2,180.54