Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.66 / $9,639.00 / $20,509.00	Facility		$779.66	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.85 / $797.99 / $3,847.90	Professional		$662.85	$797.99	$3,847.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $7,334.00 / $15,744.28	Facility		$3,222.00	$7,334.00	$15,744.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.87 / $1,082.99 / $2,076.17	Professional		$789.87	$1,082.99	$2,076.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,717.48	Facility		$64.20	$100.00	$5,717.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $523.40 / $807.89 / $1,979.79	Professional		$523.40	$807.89	$1,979.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.28 / $933.05 / $2,750.19	Professional		$692.28	$933.05	$2,750.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $548.77 / $791.76 / $950.11	Professional		$548.77	$791.76	$950.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.30 / $910.52 / $1,608.35	Professional		$705.30	$910.52	$1,608.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,526.20 / $5,732.86	Facility		$55.00	$4,526.20	$5,732.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,648.44 / $5,648.44 / $5,844.90	Professional		$5,648.44	$5,648.44	$5,844.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $745.38 / $963.85 / $1,412.40	Facility		$745.38	$963.85	$1,412.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.77 / $933.05 / $2,071.06	Professional		$712.77	$933.05	$2,071.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,387.56 / $2,387.56 / $2,387.56	Professional		$2,387.56	$2,387.56	$2,387.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.77 / $823.16 / $1,038.06	Professional		$548.77	$823.16	$1,038.06
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 $595.57 / $914.00 / $2,449.79	Professional		$595.57	$914.00	$2,449.79