Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.67 / $9,639.00 / $20,509.00	Facility		$814.67	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.43 / $793.52 / $3,729.47	Professional		$717.43	$793.52	$3,729.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.08 / $1,349.64 / $2,541.82	Professional		$697.08	$1,349.64	$2,541.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,792.35	Facility		$66.00	$100.00	$12,792.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $613.03 / $943.88 / $2,040.11	Professional		$613.03	$943.88	$2,040.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.30 / $945.46 / $2,361.21	Professional		$753.30	$945.46	$2,361.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $469.50 / $882.36	Professional		$372.30	$469.50	$882.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $852.01 / $1,568.56	Professional		$661.77	$852.01	$1,568.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,424.23 / $9,141.44	Facility		$55.00	$7,424.23	$9,141.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,082.96 / $5,212.72 / $6,222.60	Professional		$5,082.96	$5,212.72	$6,222.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.01 / $891.23 / $1,263.22	Facility		$710.01	$891.23	$1,263.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $753.30 / $945.46 / $2,111.35	Professional		$753.30	$945.46	$2,111.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,314.06 / $2,314.06 / $2,314.06	Professional		$2,314.06	$2,314.06	$2,314.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $610.35 / $814.07	Professional		$372.30	$610.35	$814.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,810.00 / $22,073.00	Facility		$5,200.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.72 / $906.35 / $2,079.21	Professional		$628.72	$906.35	$2,079.21