Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.82 / $4,932.00 / $16,713.00	Facility		$657.82	$4,932.00	$16,713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $559.34 / $2,339.59	Professional		$150.29	$559.34	$2,339.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $4,465.00 / $9,381.00	Facility		$1,615.00	$4,465.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.98 / $979.48 / $1,988.91	Professional		$270.98	$979.48	$1,988.91
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 $161.09 / $428.69 / $1,042.76	Professional		$161.09	$428.69	$1,042.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.49 / $505.43 / $1,513.01	Professional		$163.49	$505.43	$1,513.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $480.64 / $720.96	Professional		$142.53	$480.64	$720.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $393.93 / $895.10	Professional		$134.69	$393.93	$895.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $774.87 / $878.42	Facility		$55.00	$774.87	$878.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,783.69 / $3,407.60 / $3,985.73	Professional		$1,783.69	$3,407.60	$3,985.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.61 / $444.38 / $799.86	Facility		$156.61	$444.38	$799.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.90 / $470.71 / $1,328.88	Professional		$167.90	$470.71	$1,328.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $498.74 / $498.74 / $2,108.42	Professional		$498.74	$498.74	$2,108.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $489.66 / $720.96	Professional		$133.96	$489.66	$720.96
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.36 / $721.94 / $2,173.98	Professional		$486.36	$721.94	$2,173.98