Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,665.00 / $20,509.00	Facility		$873.00	$9,665.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.13 / $513.25 / $3,647.50	Professional		$460.13	$513.25	$3,647.50
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 $684.82 / $951.72 / $1,928.48	Professional		$684.82	$951.72	$1,928.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,774.69	Facility		$66.00	$100.00	$12,774.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $336.64 / $521.46 / $1,259.96	Professional		$336.64	$521.46	$1,259.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.76 / $766.89 / $1,973.63	Professional		$512.76	$766.89	$1,973.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $469.50 / $990.52	Professional		$372.30	$469.50	$990.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.45 / $900.52 / $1,688.83	Professional		$711.45	$900.52	$1,688.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,680.75 / $9,376.73	Facility		$55.00	$7,680.75	$9,376.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,142.72 / $5,250.80 / $6,588.68	Professional		$5,142.72	$5,250.80	$6,588.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $577.92 / $853.74 / $1,200.69	Facility		$577.92	$853.74	$1,200.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.00 / $763.43 / $1,947.95	Professional		$517.00	$763.43	$1,947.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,263.19 / $2,263.19 / $2,263.19	Professional		$2,263.19	$2,263.19	$2,263.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $632.91 / $914.25	Professional		$372.30	$632.91	$914.25
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 $526.00 / $747.05 / $1,811.27	Professional		$526.00	$747.05	$1,811.27