Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.12 / $9,639.00 / $20,509.00	Facility		$650.12	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.61 / $650.00 / $3,499.60	Professional		$550.61	$650.00	$3,499.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $9,596.00 / $19,696.00	Facility		$4,204.00	$9,596.00	$19,696.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $786.39 / $1,030.71 / $1,981.70	Professional		$786.39	$1,030.71	$1,981.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $481.75 / $748.95 / $1,822.24	Professional		$481.75	$748.95	$1,822.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.39 / $875.25 / $2,401.67	Professional		$663.39	$875.25	$2,401.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $820.17 / $1,006.57	Professional		$744.60	$820.17	$1,006.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.05 / $859.31 / $1,534.74	Professional		$671.05	$859.31	$1,534.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,067.35 / $6,296.08	Facility		$55.00	$5,067.35	$6,296.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,351.00 / $9,351.00 / $9,351.00	Professional		$9,351.00	$9,351.00	$9,351.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.54 / $894.73 / $1,335.15	Facility		$681.54	$894.73	$1,335.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.84 / $892.98 / $1,911.37	Professional		$670.84	$892.98	$1,911.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,171.42 / $2,171.42 / $2,171.42	Professional		$2,171.42	$2,171.42	$2,171.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $677.41 / $939.00 / $1,408.50	Professional		$677.41	$939.00	$1,408.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $782.46 / $1,964.94	Professional		$530.01	$782.46	$1,964.94